Healthcare Provider Details

I. General information

NPI: 1760345722
Provider Name (Legal Business Name): HARBOR LIGHT COUNSELING OF THE SEACOAST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CONCORD WAY
DOVER NH
03820-4341
US

IV. Provider business mailing address

9 CONCORD WAY
DOVER NH
03820-4341
US

V. Phone/Fax

Practice location:
  • Phone: 603-505-8096
  • Fax:
Mailing address:
  • Phone: 603-505-8096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KARAH LOGAN
Title or Position: MEMBER
Credential: LICSW
Phone: 603-505-8096