Provider Demographics
NPI:1285778373
Name:HARLOW, JANET DENISE (LPE)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:DENISE
Last Name:HARLOW
Suffix:
Gender:F
Credentials:LPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1196
Mailing Address - Street 2:
Mailing Address - City:MONTEAGLE
Mailing Address - State:TN
Mailing Address - Zip Code:37356-1196
Mailing Address - Country:US
Mailing Address - Phone:931-924-0042
Mailing Address - Fax:931-723-3652
Practice Address - Street 1:218 E. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MONTEAGLE
Practice Address - State:TN
Practice Address - Zip Code:37356
Practice Address - Country:US
Practice Address - Phone:931-924-0042
Practice Address - Fax:931-723-3652
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNP. E. 500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health