1841639671 NPI number — JOSEPH AUBREY HARPER LLMSW

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841639671 NPI number — JOSEPH AUBREY HARPER LLMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARPER
Provider First Name:
JOSEPH
Provider Middle Name:
AUBREY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LLMSW
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841639671
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 359, 8511 STATE STREET
Provider Second Line Business Mailing Address:
NEW LIGHT CHILD AND FAMILY INSTITUTE
Provider Business Mailing Address City Name:
MILLINGTON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-871-6695
Provider Business Mailing Address Fax Number:
989-871-3663

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
852 S. HOOPER STREET
Provider Second Line Business Practice Location Address:
NEW LIGHT CHILD AND FAMILY INSTITUT
Provider Business Practice Location Address City Name:
CARO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-672-0784
Provider Business Practice Location Address Fax Number:
989-672-0786
Provider Enumeration Date:
06/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  68010945343 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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