Provider Demographics
NPI:1255575841
Name:HARPER, OLIVER OSWALD (LPC)
Entity type:Individual
Prefix:
First Name:OLIVER
Middle Name:OSWALD
Last Name:HARPER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 GREENRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-2220
Mailing Address - Country:US
Mailing Address - Phone:404-232-5217
Mailing Address - Fax:
Practice Address - Street 1:1227 GREENRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-2220
Practice Address - Country:US
Practice Address - Phone:404-232-5217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005414101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional