Healthcare Provider Details

I. General information

NPI: 1356567648
Provider Name (Legal Business Name): NECIA HARP LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7130 W US HIGHWAY 90
SAN ANTONIO TX
78227-3515
US

IV. Provider business mailing address

7130 W US HIGHWAY 90
SAN ANTONIO TX
78227-3515
US

V. Phone/Fax

Practice location:
  • Phone: 210-675-9000
  • Fax: 210-675-9020
Mailing address:
  • Phone: 210-675-9000
  • Fax: 210-675-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number13777
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: