Provider Demographics
NPI:1386290237
Name:HARMONIC FAMILY THERAPY INC.
Entity type:Organization
Organization Name:HARMONIC FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-643-9307
Mailing Address - Street 1:2566 CATAMARAN WAY STE 2
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4533
Mailing Address - Country:US
Mailing Address - Phone:619-216-1121
Mailing Address - Fax:619-485-9570
Practice Address - Street 1:2566 CATAMARAN WAY STE 2
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4533
Practice Address - Country:US
Practice Address - Phone:619-216-1121
Practice Address - Fax:619-485-9570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty