Provider Demographics
NPI:1598118465
Name:HARTE, NANCY (LCMHCA, LCAS, CSI)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HARTE
Suffix:
Gender:F
Credentials:LCMHCA, LCAS, CSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501
Mailing Address - Country:US
Mailing Address - Phone:919-744-9314
Mailing Address - Fax:919-275-9772
Practice Address - Street 1:728 N. RALEIGH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501
Practice Address - Country:US
Practice Address - Phone:919-275-9775
Practice Address - Fax:919-275-9772
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-16324101YA0400X
NCA13785101YM0800X
NC16324101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health