Provider Demographics
NPI:1770332603
Name:BLUE HARMONY INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
Entity type:Organization
Organization Name:BLUE HARMONY INTEGRATIVE PSYCHIATRY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KASEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN,PMHNP, FNP
Authorized Official - Phone:512-740-6764
Mailing Address - Street 1:11813 CEDAR VALLEY CV
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2207
Mailing Address - Country:US
Mailing Address - Phone:512-777-1804
Mailing Address - Fax:888-649-5539
Practice Address - Street 1:11813 CEDAR VALLEY CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-2207
Practice Address - Country:US
Practice Address - Phone:512-740-6764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service