| Harmony Road Recovery Llc | |
|
813 N Kansas St Ste 200 El Paso TX 79902-5218 | |
| (915) 271-8971 | |
| (915) 900-5478 |
| Full Name | Harmony Road Recovery Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 813 N Kansas St Ste 200, El Paso, Texas |
| Authorized Official Name and Position | Hank Cohn (OWNER) |
| Authorized Official Contact | 8456610708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony Road Recovery Llc 813 N Kansas St Ste 200 El Paso TX 79902-5218 Ph: (915) 271-8971 | Harmony Road Recovery Llc 813 N Kansas St Ste 200 El Paso TX 79902-5218 Ph: (915) 271-8971 |
| NPI Number | 1952022337 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Medicare PECOS PAC ID | 2567831282 |
|---|---|
| Medicare Enrollment ID | O20221219002556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952022337 | NPI | - | NPPES |
| Provider Name | Jahi K Anderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295069573 PECOS PAC ID: 9234263195 Enrollment ID: I20100813000247 |
| Provider Name | Mois A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083993273 PECOS PAC ID: 6709057649 Enrollment ID: I20170607002838 |
| Provider Name | Maria Bagwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588003123 PECOS PAC ID: 2365700770 Enrollment ID: I20171212002531 |
| Provider Name | Daryl E Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477190783 PECOS PAC ID: 3375978190 Enrollment ID: I20200123002891 |
| Provider Name | Nelson Pichardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649437401 PECOS PAC ID: 5193022325 Enrollment ID: I20230911002375 |
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