Provider Demographics
NPI:1124485040
Name:MARSHALL, HARMONY DANIELLE (LPC)
Entity type:Individual
Prefix:
First Name:HARMONY
Middle Name:DANIELLE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HARMONY
Other - Middle Name:DANIELLE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4835 S FULTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-6976
Mailing Address - Country:US
Mailing Address - Phone:918-591-3071
Mailing Address - Fax:918-615-2261
Practice Address - Street 1:4835 S FULTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-6976
Practice Address - Country:US
Practice Address - Phone:918-591-3071
Practice Address - Fax:918-615-2261
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10764101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator