Provider Demographics
NPI:1831461383
Name:THE HARMONY CENTER
Entity Type:Organization
Organization Name:THE HARMONY CENTER
Other - Org Name:BRAGG STREET
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLIS
Authorized Official - Middle Name:BENTON
Authorized Official - Last Name:TEMPLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-383-9139
Mailing Address - Street 1:2736 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-2719
Mailing Address - Country:US
Mailing Address - Phone:225-383-9139
Mailing Address - Fax:225-336-4861
Practice Address - Street 1:514 BRAGG ST
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-6104
Practice Address - Country:US
Practice Address - Phone:318-445-5366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1713210Medicaid
LA1713902Medicaid
LA1716987Medicaid
LA193070Medicaid
LA1713571Medicaid
LA1717177Medicaid
LA1457914Medicaid
LA1713481Medicaid
LA1439444Medicaid
LA1717231Medicaid
LA1156043Medicaid
LA1715425Medicaid
LA1717070Medicaid
LA1717240Medicaid
LA1457906Medicaid