Provider Demographics
NPI:1154662286
Name:HARSHAW, KIMBERLY M (LPC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:M
Last Name:HARSHAW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3764
Mailing Address - Country:US
Mailing Address - Phone:288-475-6544
Mailing Address - Fax:828-475-6565
Practice Address - Street 1:220 W UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3764
Practice Address - Country:US
Practice Address - Phone:828-475-6544
Practice Address - Fax:828-475-6565
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCS10021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA10021OtherLICENSE