Provider Demographics
NPI:1275862781
Name:HARNER, LENNY ALLAN (LPC)
Entity Type:Individual
Prefix:MR
First Name:LENNY
Middle Name:ALLAN
Last Name:HARNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 PINTO LN
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-4713
Mailing Address - Country:US
Mailing Address - Phone:469-964-3162
Mailing Address - Fax:469-355-6173
Practice Address - Street 1:508 PINTO LN
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-4713
Practice Address - Country:US
Practice Address - Phone:469-964-3162
Practice Address - Fax:469-355-6173
Is Sole Proprietor?:No
Enumeration Date:2009-12-11
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16064OtherLPC LICENSE NUMBER
TX27-0153827OtherEIN