Provider Demographics
NPI:1144333204
Name:HARP, ELIZABETH K (LPC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:HARP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:HARP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:727 S FLOYD RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7417
Mailing Address - Country:US
Mailing Address - Phone:972-742-7697
Mailing Address - Fax:972-918-9069
Practice Address - Street 1:727 S FLOYD RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7417
Practice Address - Country:US
Practice Address - Phone:972-742-7697
Practice Address - Fax:972-918-9069
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16139101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6373LCOtherBCBS PROVIDER #