| Harmony Mental Health Services Llc | |
|
2136 Ford Pkwy # 5609 Saint Paul MN 55116-2850 | |
| (651) 273-9074 | |
| (651) 240-6036 |
| Full Name | Harmony Mental Health Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 2136 Ford Pkwy # 5609, Saint Paul, Minnesota |
| Authorized Official Name and Position | Tenbit Etafa (OWNER) |
| Authorized Official Contact | 6512739074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Mental Health Services Llc 6437 Inspire Cir S Cottage Grove MN 55016-4692 Ph: (651) 273-9074 | Harmony Mental Health Services Llc 2136 Ford Pkwy # 5609 Saint Paul MN 55116-2850 Ph: (651) 273-9074 |
| NPI Number | 1003674326 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 1951743137 |
|---|---|
| Medicare Enrollment ID | O20240521000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003674326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Tenbit Etafa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346014206 PECOS PAC ID: 2860834041 Enrollment ID: I20240521001181 |
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