Organization
HARMONY COUNSELING AND SELF CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAAN JAMAL MANSOURI LCSW (SOLE MBR)
(765) 237-9091
Entity
Organization
Contact information
Practice address
1330 WIN HENTSCHEL BLVD STE 222, WEST LAFAYETTE, IN 47906-4149
(765) 237-9091
(765) 374-2752
Mailing address
206 N OAK ST, EARL PARK, IN 47942-8601
(765) 237-9091
(765) 374-2752
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34007499A
LCSW
IN
Enumeration date
07/22/2021
Last updated
07/22/2021
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