Provider Demographics
NPI:1447794714
Name:KATELYN HARWOOD
Entity Type:Organization
Organization Name:KATELYN HARWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-485-2195
Mailing Address - Street 1:321 7TH ST NE STE B
Mailing Address - Street 2:STE B
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-5154
Mailing Address - Country:US
Mailing Address - Phone:828-485-2195
Mailing Address - Fax:828-485-2197
Practice Address - Street 1:321 7TH ST NE STE B
Practice Address - Street 2:STE B
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5154
Practice Address - Country:US
Practice Address - Phone:828-485-2195
Practice Address - Fax:828-485-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA12701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty