Provider Demographics
NPI:1437614237
Name:HARNESS, TIMMIE PRINCE SR (LPC-A)
Entity Type:Individual
Prefix:MR
First Name:TIMMIE
Middle Name:PRINCE
Last Name:HARNESS
Suffix:SR
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OAK ST STE A #281
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522
Mailing Address - Country:US
Mailing Address - Phone:254-319-2563
Mailing Address - Fax:
Practice Address - Street 1:526 COUNTY ROAD 4711
Practice Address - Street 2:
Practice Address - City:KEMPNER
Practice Address - State:TX
Practice Address - Zip Code:76539
Practice Address - Country:US
Practice Address - Phone:254-319-2563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-05
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional