Provider Demographics
NPI:1194482364
Name:LITTLER, HARLEY MILTON III (LCDC III)
Entity type:Individual
Prefix:MR
First Name:HARLEY
Middle Name:MILTON
Last Name:LITTLER
Suffix:III
Gender:M
Credentials:LCDC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44507-1127
Mailing Address - Country:US
Mailing Address - Phone:330-744-5143
Mailing Address - Fax:
Practice Address - Street 1:1771 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44507-1135
Practice Address - Country:US
Practice Address - Phone:330-744-5143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021156101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)