Organization Name: | LISA HARMON, LCSW, INC |
NPI Number: | 1003840281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA HARMON (PRESIDENT) |
Mailing Address: | 4830 S 69th St Lincoln |
State: | NE US |
Postal Code: | 685161501 |
Phone Number: | 4023279751 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |