MEDICARE: DELICIA D HARVEY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	2390	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	320153429	OTHER	AL	AMERICAN BEHAVIORAL
2	515-33718	OTHER	AL	BC BS OF ALABAMA
3	320153429	OTHER	AL	AETNA BEHAVIORAL HEALTH
4	320153429	OTHER	AL	BEHAVIORAL HEALTH SYSTEMS
5	320156429	OTHER	AL	MENTAL HEALTH NETWORK

General Provider Information

NPI Number	:	1891800330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELICIA D HARVEY LPC

Provider Business Mailing Address
First Line	:	6869 5TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-1866
Country	:	US
Telephone Number	:	205-883-8203
Fax Number	:	205-838-2073

Provider Business Practice Location Address
First Line	:	6869 5TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-1866
Country	:	US
Telephone Number	:	205-838-2031
Fax Number	:	205-838-2073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	08/04/2008

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Directions to “ DELICIA D HARVEY LPC” Practice Location

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