Provider Demographics
NPI:1881078517
Name:HARMELING ENTERPRISES LLC
Entity type:Organization
Organization Name:HARMELING ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HARMELING
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-428-4238
Mailing Address - Street 1:14443 PARK AVE STE A2
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2388
Mailing Address - Country:US
Mailing Address - Phone:661-428-4238
Mailing Address - Fax:760-536-1920
Practice Address - Street 1:14443 PARK AVE STE A2
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2388
Practice Address - Country:US
Practice Address - Phone:661-428-4238
Practice Address - Fax:760-536-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT87570251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1174803597OtherMEDI-CAL