| Harmony Farm, Llc | |
|
2689 Frankfort Rd Georgetown KY 40324-8611 | |
| (859) 537-9779 | |
| (502) 868-9312 |
| Full Name | Harmony Farm, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2689 Frankfort Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Karen Michelle Dobson Zamora (OWNER) |
| Authorized Official Contact | 8595379779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Farm, Llc 2689 Frankfort Rd Georgetown KY 40324-8611 Ph: (859) 537-9779 | Harmony Farm, Llc 2689 Frankfort Rd Georgetown KY 40324-8611 Ph: (859) 537-9779 |
| NPI Number | 1346670593 |
|---|---|
| Provider Enumeration Date | 11/24/2013 |
| Last Update Date | 02/09/2024 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 5698902401 |
|---|---|
| Medicare Enrollment ID | O20131223001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346670593 | NPI | - | NPPES |
| 7100302720 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 128256 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3708 (Kentucky) | Primary |
| Provider Name | Karen Michelle Dobson Zamora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275840688 PECOS PAC ID: 6507093317 Enrollment ID: I20131223001379 |
| Provider Name | Heather King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689298499 PECOS PAC ID: 9739599820 Enrollment ID: I20201030000809 |
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