Provider Demographics
NPI:1932415213
Name:INNER HARMONY THERAPY SERVICES LLC
Entity Type:Organization
Organization Name:INNER HARMONY THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVENISH
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:800-661-6323
Mailing Address - Street 1:210 E VERMIJO AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2173
Mailing Address - Country:US
Mailing Address - Phone:800-661-6323
Mailing Address - Fax:
Practice Address - Street 1:210 E VERMIJO AVE STE 20
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2173
Practice Address - Country:US
Practice Address - Phone:800-661-6323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO661101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty