Provider Demographics
NPI:1861514937
Name:HARPSTER, PEGGY A (LPC)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:A
Last Name:HARPSTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2052 W HYACINTH CT
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7024
Mailing Address - Country:US
Mailing Address - Phone:417-724-1127
Mailing Address - Fax:
Practice Address - Street 1:1406 S 17TH AVE
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-8435
Practice Address - Country:US
Practice Address - Phone:417-581-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001026798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health