Provider Demographics
NPI:1811764152
Name:HARVEY, KAMMILLE (LPC-A)
Entity type:Individual
Prefix:
First Name:KAMMILLE
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 GATTIS SCHOOL RD STE 410
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-2569
Mailing Address - Country:US
Mailing Address - Phone:512-230-3740
Mailing Address - Fax:
Practice Address - Street 1:1000 GATTIS SCHOOL RD STE 410
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2569
Practice Address - Country:US
Practice Address - Phone:512-230-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional