Provider Demographics
NPI:1285972661
Name:HARTER, DANIEL RICHARD (MSMFT, LPC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RICHARD
Last Name:HARTER
Suffix:
Gender:M
Credentials:MSMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 A ST SW
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-7605
Mailing Address - Country:US
Mailing Address - Phone:183-253-8943
Mailing Address - Fax:
Practice Address - Street 1:319 A ST SW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-7605
Practice Address - Country:US
Practice Address - Phone:918-325-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-20
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6993101YP2500X, 101YM0800X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator