| Harmonious Mental Health, Pllc | |
|
3060 N Academy Blvd Ste 300 Colorado Springs CO 80917-5349 | |
| (719) 900-2481 | |
| (719) 900-2483 |
| Full Name | Harmonious Mental Health, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3060 N Academy Blvd Ste 300, Colorado Springs, Colorado |
| Authorized Official Name and Position | Jessica Lauren Mamula (OWNER) |
| Authorized Official Contact | 7199002481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmonious Mental Health, Pllc 4419 Centennial Blvd Unit 506 Colorado Springs CO 80907-3739 Ph: (719) 900-2481 | Harmonious Mental Health, Pllc 3060 N Academy Blvd Ste 300 Colorado Springs CO 80917-5349 Ph: (719) 900-2481 |
| NPI Number | 1063286912 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4385087360 |
|---|---|
| Medicare Enrollment ID | O20240206004797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063286912 | NPI | - | NPPES |
| Provider Name | Jessica Mamula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043319 PECOS PAC ID: 3971849399 Enrollment ID: I20220204002263 |
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