Provider Demographics
NPI:1659753838
Name:JODI LYNN HARWOOD
Entity Type:Organization
Organization Name:JODI LYNN HARWOOD
Other - Org Name:ARTICHOKE HEART COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLPC
Authorized Official - Phone:989-621-6870
Mailing Address - Street 1:5103 EASTMAN AVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6785
Mailing Address - Country:US
Mailing Address - Phone:989-621-6870
Mailing Address - Fax:
Practice Address - Street 1:5103 EASTMAN AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6785
Practice Address - Country:US
Practice Address - Phone:989-621-6870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTICHOKE HEART LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-23
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014861101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty