Provider Demographics
NPI:1841639671
Name:HARPER, JOSEPH AUBREY (LLMSW)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:AUBREY
Last Name:HARPER
Suffix:
Gender:M
Credentials:LLMSW
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 359, 8511 STATE STREET
Mailing Address - Street 2:NEW LIGHT CHILD AND FAMILY INSTITUTE
Mailing Address - City:MILLINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48746
Mailing Address - Country:US
Mailing Address - Phone:989-871-6695
Mailing Address - Fax:989-871-3663
Practice Address - Street 1:852 S. HOOPER STREET
Practice Address - Street 2:NEW LIGHT CHILD AND FAMILY INSTITUT
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723
Practice Address - Country:US
Practice Address - Phone:989-672-0784
Practice Address - Fax:989-672-0786
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI680109453431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical