Provider Demographics
NPI:1649968751
Name:HARPER, CHASSITY L (LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:CHASSITY
Middle Name:L
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 RICHMOND RD # 235
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2432
Mailing Address - Country:US
Mailing Address - Phone:903-949-8700
Mailing Address - Fax:
Practice Address - Street 1:2019 RICHMOND RD # 235
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-2432
Practice Address - Country:US
Practice Address - Phone:903-949-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist