Provider Demographics
NPI:1538787064
Name:HARP, CAROL LEIGH (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:LEIGH
Last Name:HARP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 GREEN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6028
Mailing Address - Country:US
Mailing Address - Phone:615-305-3731
Mailing Address - Fax:
Practice Address - Street 1:1309 GREEN FOREST DR
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6028
Practice Address - Country:US
Practice Address - Phone:615-305-3731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-10
Last Update Date:2020-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health