Provider Demographics
NPI:1821143231
Name:HARMON, HARRY JAMES 'ADOFO' (LCSW)
Entity Type:Individual
Prefix:
First Name:HARRY JAMES
Middle Name:'ADOFO'
Last Name:HARMON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:ADOFO
Other - Middle Name:
Other - Last Name:HARMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-1004
Mailing Address - Country:US
Mailing Address - Phone:337-262-4174
Mailing Address - Fax:337-262-1146
Practice Address - Street 1:302 DULLES DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-3008
Practice Address - Country:US
Practice Address - Phone:337-262-4174
Practice Address - Fax:337-262-1146
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical