Provider Demographics
NPI:1558959783
Name:HARMS, LUANNE MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:LUANNE
Middle Name:MARIE
Last Name:HARMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5380 OLD BULLARD RD STE 600-171
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3607
Mailing Address - Country:US
Mailing Address - Phone:903-330-9592
Mailing Address - Fax:903-470-7373
Practice Address - Street 1:7282 CROSSWATER, STE 100
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-0501
Practice Address - Country:US
Practice Address - Phone:903-330-9592
Practice Address - Fax:903-470-7373
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX580211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical