Provider Demographics
NPI:1417379207
Name:HARPER, MARCI L (LPC-I)
Entity Type:Individual
Prefix:MRS
First Name:MARCI
Middle Name:L
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 GRAND AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-7629
Mailing Address - Country:US
Mailing Address - Phone:817-756-1440
Mailing Address - Fax:
Practice Address - Street 1:181 GRAND AVE STE 230
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-7629
Practice Address - Country:US
Practice Address - Phone:817-756-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71303101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor