Provider Demographics
NPI:1790447357
Name:HARVEST 3 GATHERING LLC
Entity Type:Organization
Organization Name:HARVEST 3 GATHERING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN-HAYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:717-439-7663
Mailing Address - Street 1:7745 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-3853
Mailing Address - Country:US
Mailing Address - Phone:717-439-7663
Mailing Address - Fax:
Practice Address - Street 1:6530 DERRY ST FL 2
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-4468
Practice Address - Country:US
Practice Address - Phone:717-439-8485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health