Provider Demographics
NPI:1780694778
Name:HARVEY, RHONDA MIACHELE (LPC)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MIACHELE
Last Name:HARVEY
Suffix:
Gender:F
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:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:EAKLY
Mailing Address - State:OK
Mailing Address - Zip Code:73033-0185
Mailing Address - Country:US
Mailing Address - Phone:405-542-7263
Mailing Address - Fax:
Practice Address - Street 1:435 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:EAKLY
Practice Address - State:OK
Practice Address - Zip Code:73033
Practice Address - Country:US
Practice Address - Phone:405-542-7263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional