Provider Demographics
NPI:1477341287
Name:HARMONY WELLNESS CENTER
Entity type:Organization
Organization Name:HARMONY WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-445-2060
Mailing Address - Street 1:411 NW 7TH ST STE 115
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-2810
Mailing Address - Country:US
Mailing Address - Phone:405-445-2060
Mailing Address - Fax:210-800-9921
Practice Address - Street 1:411 NW 7TH ST STE 115
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73102-2810
Practice Address - Country:US
Practice Address - Phone:405-445-2060
Practice Address - Fax:210-800-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty