Provider Demographics
| NPI: | 1700251782 |
|---|---|
| Name: | KATIE E. HARMEIER |
| Entity type: | Organization |
| Organization Name: | KATIE E. HARMEIER |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | THERAPIST |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | KATIE |
| Authorized Official - Middle Name: | ERIN |
| Authorized Official - Last Name: | HARMEIER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 502-459-7086 |
| Mailing Address - Street 1: | 1028 BARRET AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LOUISVILLE |
| Mailing Address - State: | KY |
| Mailing Address - Zip Code: | 40204-1667 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1028 BARRET AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | LOUISVILLE |
| Practice Address - State: | KY |
| Practice Address - Zip Code: | 40204-1667 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 502-451-1221 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-12-02 |
| Last Update Date: | 2016-04-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| KY | ADCLAD00223245 | 101YA0400X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |