Provider Demographics
NPI:1588296115
Name:HARPER, LANETTA (LPC, NCC, CATP)
Entity type:Individual
Prefix:
First Name:LANETTA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPC, NCC, CATP
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 110870
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-0870
Mailing Address - Country:US
Mailing Address - Phone:205-270-4091
Mailing Address - Fax:
Practice Address - Street 1:1957 HOOVER CT STE 218
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35226-3618
Practice Address - Country:US
Practice Address - Phone:205-270-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3397A101YM0800X
AL4455101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health