Provider Demographics
NPI:1932514767
Name:HARLAN, VALINDA (LMHC)
Entity Type:Individual
Prefix:
First Name:VALINDA
Middle Name:
Last Name:HARLAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 E PRIVATE DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-1856
Mailing Address - Country:US
Mailing Address - Phone:863-271-0797
Mailing Address - Fax:
Practice Address - Street 1:1420 E PRIVATE DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-1856
Practice Address - Country:US
Practice Address - Phone:863-271-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional