Provider Demographics
NPI:1316371099
Name:HARBACHECK, EMILY ANN (MS,LMHC,NCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANN
Last Name:HARBACHECK
Suffix:
Gender:F
Credentials:MS,LMHC,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71602
Mailing Address - Street 2:
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-0602
Mailing Address - Country:US
Mailing Address - Phone:515-243-2057
Mailing Address - Fax:515-244-5570
Practice Address - Street 1:520 S PIERCE AVE STE 213
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2751
Practice Address - Country:US
Practice Address - Phone:641-426-0650
Practice Address - Fax:641-843-7232
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA072775101YM0800X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174H00000XOther Service ProvidersHealth Educator