Provider Demographics
NPI:1134909047
Name:BENNER HARPER & ASSOCIATES, L.L.C.
Entity type:Organization
Organization Name:BENNER HARPER & ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ LICSW
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:MAM, LGSW, LICSW
Authorized Official - Phone:651-592-4667
Mailing Address - Street 1:708 HAVENHILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55123-1657
Mailing Address - Country:US
Mailing Address - Phone:651-592-4667
Mailing Address - Fax:
Practice Address - Street 1:708 HAVENHILL RD
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55123-1657
Practice Address - Country:US
Practice Address - Phone:651-592-4667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENNER HARPER & ASSOCIATES, L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty