Provider Demographics
NPI:1922542877
Name:HARPLEY, JORDAN L (MED, LPC-MHSP, NCC)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:L
Last Name:HARPLEY
Suffix:
Gender:F
Credentials:MED, LPC-MHSP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 LEE HWY STE 400
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-8604
Mailing Address - Country:US
Mailing Address - Phone:423-509-3865
Mailing Address - Fax:
Practice Address - Street 1:7161 LEE HWY STE 400
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8604
Practice Address - Country:US
Practice Address - Phone:423-708-8670
Practice Address - Fax:423-708-8671
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-12
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000003748101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health