Provider Demographics
NPI:1871383158
Name:HARMONY MEDICAL AND PSYCHIATRIC SERVICES PLLC
Entity type:Organization
Organization Name:HARMONY MEDICAL AND PSYCHIATRIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEPP
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP, PMHNP
Authorized Official - Phone:857-928-8778
Mailing Address - Street 1:1846 1ST ST
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-4415
Mailing Address - Country:US
Mailing Address - Phone:855-928-8778
Mailing Address - Fax:857-270-7313
Practice Address - Street 1:6101 E HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:ID
Practice Address - Zip Code:83801-6085
Practice Address - Country:US
Practice Address - Phone:855-928-8778
Practice Address - Fax:857-270-7313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty