| Harmony Farm, LLC | |
|
2689 Frankfort Rd Georgetown KY 40324-8611 | |
| (859) 537-9779 | |
| (502) 868-9312 |
| Full Name | Harmony Farm, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2689 Frankfort Rd, Georgetown, Kentucky |
| Authorized Official Name and Position | Karen Michelle Dobson Zamora (OWNER) |
| Authorized Official Contact | 8595379779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 |
| 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 |
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