Provider Demographics
NPI:1174497010
Name:HARMONY HILLS WELLNESS LLC
Entity type:Organization
Organization Name:HARMONY HILLS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:NWAKAEGO
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:UWAEZUOKE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:734-299-6131
Mailing Address - Street 1:24306 THORN DR
Mailing Address - Street 2:
Mailing Address - City:FLAT ROCK
Mailing Address - State:MI
Mailing Address - Zip Code:48134-6037
Mailing Address - Country:US
Mailing Address - Phone:734-304-0901
Mailing Address - Fax:734-805-9227
Practice Address - Street 1:14799 DIX TOLEDO RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2507
Practice Address - Country:US
Practice Address - Phone:734-304-0901
Practice Address - Fax:734-805-9227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty