Provider Demographics
NPI:1568653855
Name:MCCARTY, HARLAN BARRETT (MDIV MS)
Entity Type:Individual
Prefix:
First Name:HARLAN
Middle Name:BARRETT
Last Name:MCCARTY
Suffix:
Gender:M
Credentials:MDIV MS
Other - Prefix:
Other - First Name:H
Other - Middle Name:BARRY
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MDIVINITY MS
Mailing Address - Street 1:5522 REDSTART ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096
Mailing Address - Country:US
Mailing Address - Phone:713-728-9352
Mailing Address - Fax:
Practice Address - Street 1:4803 SAN FELIPE
Practice Address - Street 2:SUITE 207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:713-626-7990
Practice Address - Fax:713-627-7715
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional