Provider Demographics
NPI:1255144416
Name:HARWOOD, ANDREW (LLPC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HARWOOD
Suffix:
Gender:X
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41571 BELVIDERE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-1407
Mailing Address - Country:US
Mailing Address - Phone:810-434-0680
Mailing Address - Fax:
Practice Address - Street 1:826 S LAPEER RD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6511
Practice Address - Country:US
Practice Address - Phone:248-572-7002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451024020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty