Provider Demographics
NPI:1275293920
Name:HARUKO COUNSELING CENTER, L.L.C.
Entity Type:Organization
Organization Name:HARUKO COUNSELING CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:502-851-3058
Mailing Address - Street 1:921 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2403
Mailing Address - Country:US
Mailing Address - Phone:502-851-3058
Mailing Address - Fax:
Practice Address - Street 1:921 CHARLES ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-2403
Practice Address - Country:US
Practice Address - Phone:502-851-3058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty