Provider Demographics
NPI:1669292884
Name:HARCOURT, RAEGAN (BS, QMHP)
Entity type:Individual
Prefix:
First Name:RAEGAN
Middle Name:
Last Name:HARCOURT
Suffix:
Gender:F
Credentials:BS, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 VINSON RD S
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-4424
Mailing Address - Country:US
Mailing Address - Phone:325-733-8888
Mailing Address - Fax:
Practice Address - Street 1:490 VINSON RD S
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79602-4424
Practice Address - Country:US
Practice Address - Phone:325-733-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator