Provider Demographics
NPI:1013297803
Name:HARRIS, ARVEL JEFFREY (LPCC-S, LCADC, CCS)
Entity Type:Individual
Prefix:MR
First Name:ARVEL
Middle Name:JEFFREY
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LPCC-S, LCADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3292 STATE ROUTE 128
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-6839
Mailing Address - Country:US
Mailing Address - Phone:270-313-5000
Mailing Address - Fax:
Practice Address - Street 1:3292 STATE ROUTE 128
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-6839
Practice Address - Country:US
Practice Address - Phone:270-681-5420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY167790101YA0400X
KY104687101YM0800X
KYLPCC 1594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health