Provider Demographics
NPI:1861288961
Name:HARMS, ADRIENE D. WADE
Entity type:Individual
Prefix:
First Name:ADRIENE D.
Middle Name:WADE
Last Name:HARMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:PERHAM
Mailing Address - State:MN
Mailing Address - Zip Code:56573-0375
Mailing Address - Country:US
Mailing Address - Phone:218-422-6131
Mailing Address - Fax:218-346-2060
Practice Address - Street 1:720 3RD AVE SE STE 4
Practice Address - Street 2:
Practice Address - City:PERHAM
Practice Address - State:MN
Practice Address - Zip Code:56573-1752
Practice Address - Country:US
Practice Address - Phone:218-422-6131
Practice Address - Fax:218-346-2060
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional