Provider Demographics
NPI:1356632277
Name:HARMON, LEAH TESS
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:TESS
Last Name:HARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1141 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-3003
Mailing Address - Country:US
Mailing Address - Phone:870-793-3199
Mailing Address - Fax:870-793-3151
Practice Address - Street 1:1141 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-3003
Practice Address - Country:US
Practice Address - Phone:870-793-3199
Practice Address - Fax:870-793-3151
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator