Provider Demographics
NPI:1124846456
Name:HARMONY BEHAVIORAL AGENCY INC
Entity type:Organization
Organization Name:HARMONY BEHAVIORAL AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GUZMAN ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-315-0274
Mailing Address - Street 1:1935 NW 84TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-5059
Mailing Address - Country:US
Mailing Address - Phone:786-315-0274
Mailing Address - Fax:
Practice Address - Street 1:1935 NW 84TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-5059
Practice Address - Country:US
Practice Address - Phone:786-315-0274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1720731722Medicaid