Provider Demographics
NPI:1598003733
Name:HARLEE, ROSALIND LINETTE (LCAS-A)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:LINETTE
Last Name:HARLEE
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 CORD WOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-1095
Mailing Address - Country:US
Mailing Address - Phone:704-449-6444
Mailing Address - Fax:
Practice Address - Street 1:6709 CORD WOOD CIR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-1095
Practice Address - Country:US
Practice Address - Phone:704-449-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10020101YM0800X, 101YP2500X
NC3082-A101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional