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Organization
IN HARMONY WELLNESS IHW LLC
Active
Organization
IN HARMONY WELLNESS IHW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL ORTIZ (CREDENTIALING MANAGER)
(239) 980-4988
Entity
Organization
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 650-2953
Mailing address
4310 METRO PKWY STE 205, FORT MYERS, FL 33916-9416
(239) 223-2751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
NULL
104100000X
Social Worker
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841381019
—
VA
Enumeration date
06/21/2018
Last updated
03/04/2026
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