Provider Demographics
NPI:1568947695
Name:HARCO MARRIAGE AND FAMILY THERAPY & WELLNESS CENTER
Entity Type:Organization
Organization Name:HARCO MARRIAGE AND FAMILY THERAPY & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:O'HORA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMFT, PHD
Authorized Official - Phone:740-223-6303
Mailing Address - Street 1:2107 LAUREL BUSH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-5202
Mailing Address - Country:US
Mailing Address - Phone:740-223-6303
Mailing Address - Fax:
Practice Address - Street 1:2107 LAUREL BUSH RD STE 102
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-5202
Practice Address - Country:US
Practice Address - Phone:740-223-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health