Provider Demographics
NPI:1851442768
Name:HARWELL, NEAL (LPC)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:
Last Name:HARWELL
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TALL OAKS CV
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-8529
Mailing Address - Country:US
Mailing Address - Phone:870-934-1003
Mailing Address - Fax:
Practice Address - Street 1:800 S CHURCH ST STE 201
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4106
Practice Address - Country:US
Practice Address - Phone:870-935-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0403013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional