Organization
HARMONY WITHIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU MYAHLA ROTH (LICENSE CLINICAL SOCIAL WORKER)
(317) 775-4994
Entity
Organization
Contact information
Practice address
8633 CASTLE CREEK DR, FORT WAYNE, IN 46804-2759
(317) 775-4994
Mailing address
8633 CASTLE CREEK DR, FORT WAYNE, IN 46804-2759
(317) 775-4994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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