Provider Demographics
NPI:1902062797
Name:HARBOR COUNSELING SERVICES
Entity Type:Organization
Organization Name:HARBOR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:WC
Authorized Official - Last Name:ROPKE
Authorized Official - Suffix:IV
Authorized Official - Credentials:MA ,LMHC
Authorized Official - Phone:941-258-3037
Mailing Address - Street 1:3596 TAMIAMI TRL
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-8263
Mailing Address - Country:US
Mailing Address - Phone:941-258-3037
Mailing Address - Fax:941-764-8285
Practice Address - Street 1:3596 TAMIAMI TRL
Practice Address - Street 2:SUITE 204
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8263
Practice Address - Country:US
Practice Address - Phone:941-258-3037
Practice Address - Fax:941-764-8285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty