Provider Demographics
NPI:1841671377
Name:FORD, HARMAN (LCDC)
Entity type:Individual
Prefix:MR
First Name:HARMAN
Middle Name:
Last Name:FORD
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4403 WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-5641
Mailing Address - Country:US
Mailing Address - Phone:903-259-6723
Mailing Address - Fax:903-259-6782
Practice Address - Street 1:4403 WESLEY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75401-5641
Practice Address - Country:US
Practice Address - Phone:903-259-6723
Practice Address - Fax:903-259-6782
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10523101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor