Provider Demographics
NPI:1417260332
Name:HARVEY, CHRISTY ANN (LMHC, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:ANN
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:ANN
Other - Last Name:CUELLAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:3947 W 162ND ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4207
Mailing Address - Country:US
Mailing Address - Phone:509-207-0082
Mailing Address - Fax:833-392-1174
Practice Address - Street 1:13 SMITH DR
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:WA
Practice Address - Zip Code:99166-8794
Practice Address - Country:US
Practice Address - Phone:509-207-0082
Practice Address - Fax:833-392-1174
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-20
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2204189101YP2500X
WALH60160828101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional