Healthcare Provider Details

I. General information

NPI: 1538932686
Provider Name (Legal Business Name): KIMBERLEA HARLOW LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SPENCER RD
SPENCER OK
73084-3649
US

IV. Provider business mailing address

1837 WESTCHESTER DR
THE VILLAGE OK
73120-1128
US

V. Phone/Fax

Practice location:
  • Phone: 405-819-0567
  • Fax:
Mailing address:
  • Phone: 405-819-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: