Provider Demographics
NPI:1477816569
Name:HARWOOD COUNSELING SERVICES
Entity Type:Organization
Organization Name:HARWOOD COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS-WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:318-686-0276
Mailing Address - Street 1:6171 BERT KOUNS LOOP
Mailing Address - Street 2:D105
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71129-5061
Mailing Address - Country:US
Mailing Address - Phone:318-686-0276
Mailing Address - Fax:318-678-5956
Practice Address - Street 1:6171 BERT KOUNS LOOP
Practice Address - Street 2:D105
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-5061
Practice Address - Country:US
Practice Address - Phone:318-686-0276
Practice Address - Fax:318-678-5956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4136251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health