Provider Demographics
NPI:1043199912
Name:WAY OF HARMONY BEHAVIORAL HEALTH SERVICES, PLLC
Entity type:Organization
Organization Name:WAY OF HARMONY BEHAVIORAL HEALTH SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:DETRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:515-988-1800
Mailing Address - Street 1:1061 BOLING LN
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-4865
Mailing Address - Country:US
Mailing Address - Phone:515-988-1800
Mailing Address - Fax:
Practice Address - Street 1:1061 BOLING LN
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007-4865
Practice Address - Country:US
Practice Address - Phone:515-988-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty