Provider Demographics
NPI:1144848110
Name:ROUSSEAU, HARMONY (LMFT)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:
Last Name:ROUSSEAU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 23RD ST APT 301
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2923
Mailing Address - Country:US
Mailing Address - Phone:310-963-0029
Mailing Address - Fax:
Practice Address - Street 1:2100 GENG RD STE 210
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3307
Practice Address - Country:US
Practice Address - Phone:833-646-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist