Provider Demographics
NPI:1619319837
Name:RICH, HARMONY LEE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:LEE
Last Name:RICH
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 WESTERN AVE STE 1D
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1263
Mailing Address - Country:US
Mailing Address - Phone:224-263-4671
Mailing Address - Fax:224-346-6471
Practice Address - Street 1:3500 WESTERN AVE STE 1D
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1263
Practice Address - Country:US
Practice Address - Phone:224-263-4671
Practice Address - Fax:224-346-6471
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041505072163W00000X
IL209024896363LP0808X
OR202202394NP-PP363LP0808X
WI190614-30163W00000X
OR202202265RN163W00000X
WI202202394NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse