Provider Demographics
NPI:1386372670
Name:HARMONY BEHAVIORAL HEALTH OF FL LLC
Entity type:Organization
Organization Name:HARMONY BEHAVIORAL HEALTH OF FL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALASSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-304-5953
Mailing Address - Street 1:5197 LAYTON DR
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-8852
Mailing Address - Country:US
Mailing Address - Phone:908-707-9700
Mailing Address - Fax:908-218-0463
Practice Address - Street 1:5197 LAYTON DR
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-8852
Practice Address - Country:US
Practice Address - Phone:908-707-9700
Practice Address - Fax:908-218-0463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty