Provider Demographics
NPI:1396532693
Name:BRUNSON, HARMONY
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:
Last Name:BRUNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2747 BLUEWATER ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-1017
Mailing Address - Country:US
Mailing Address - Phone:734-579-5114
Mailing Address - Fax:
Practice Address - Street 1:5840 N CANTON CENTER RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:N/A
Practice Address - Zip Code:48197
Practice Address - Country:UM
Practice Address - Phone:248-221-2573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst