Provider Demographics
NPI:1518620004
Name:THE HARVEST COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:THE HARVEST COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FERRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:475-209-0706
Mailing Address - Street 1:470 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06513-3098
Mailing Address - Country:US
Mailing Address - Phone:203-428-4587
Mailing Address - Fax:
Practice Address - Street 1:470 JAMES ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06513-3098
Practice Address - Country:US
Practice Address - Phone:203-428-4587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HARVEST COUNSELING & WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty