Harmony Haven Therapy, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

HARMONY HAVEN THERAPY, PLLC

Practice address

610 South 18TH Street
Grand Forks, ND 58201

Phone

(701) 620-9876

NPI assigned

Dec 19, 2023

Last updated

Jan 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gaudencia Palomo-Burns, LCSWNPI 1215271515

Title

Owner & Clinical Director

Phone

(701) 620-9876

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gaudencia Palomo-Burns, LCSW

  • Clinical Social Worker
  • Grand Forks, ND
  • NPI 1215271515
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1164290136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOUTH 18TH STREET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-620-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH 18TH STREET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-620-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HAVEN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "PALOMO-BURNS",
        "authorized_official_first_name": "GAUDENCIA",
        "authorized_official_title_or_position": "OWNER & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "701-620-9876",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Ann Hanson, RN
• Valerie Hanson, RN
• Tammie J. Harder, PA-C
• James E Hargreaves, DO
• Linda Harmon, LSW
• Bethany A Harms, CRNA
• Kendall J Harms, CRNA
• Kimberlie Lynn Harper, RN
• Amy Marie Harris, RN
• Jennifer A Harrison, CRNA

• Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.