Provider Demographics
NPI:1316020688
Name:KS HARBOUR CONSULTING
Entity Type:Organization
Organization Name:KS HARBOUR CONSULTING
Other - Org Name:KS HARBOUR CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLENE
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:810-388-9437
Mailing Address - Street 1:501 GRATIOT BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MARYSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48040-1124
Mailing Address - Country:US
Mailing Address - Phone:810-388-9437
Mailing Address - Fax:810-388-9437
Practice Address - Street 1:501 GRATIOT BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-1124
Practice Address - Country:US
Practice Address - Phone:810-388-9437
Practice Address - Fax:810-388-9437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801002914251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health