Provider Demographics
NPI:1740076165
Name:HARCEY, BRYCE STANLEY
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:STANLEY
Last Name:HARCEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 ELINS LAKE RD SE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MN
Mailing Address - Zip Code:55008-2561
Mailing Address - Country:US
Mailing Address - Phone:701-230-9915
Mailing Address - Fax:
Practice Address - Street 1:796 ELINS LAKE RD SE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MN
Practice Address - Zip Code:55008-2561
Practice Address - Country:US
Practice Address - Phone:701-230-9915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral