Healthcare Provider Details

I. General information

NPI: 1336260306
Provider Name (Legal Business Name): AMY J HARSHMAN M.A., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12265 HANCOCK ST STE 42
CARMEL IN
46032-5892
US

IV. Provider business mailing address

12265 HANCOCK ST STE 37
CARMEL IN
46032-5892
US

V. Phone/Fax

Practice location:
  • Phone: 317-730-5155
  • Fax:
Mailing address:
  • Phone: 317-730-5155
  • Fax: 317-819-8347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number35001673A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: