Provider Demographics
NPI: | 1700251782 |
---|---|
Name: | KATIE E. HARMEIER |
Entity type: | Organization |
Organization Name: | KATIE E. HARMEIER |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | THERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KATIE |
Authorized Official - Middle Name: | ERIN |
Authorized Official - Last Name: | HARMEIER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-459-7086 |
Mailing Address - Street 1: | 1028 BARRET AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40204-1667 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1028 BARRET AVE |
Practice Address - Street 2: | |
Practice Address - City: | LOUISVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40204-1667 |
Practice Address - Country: | US |
Practice Address - Phone: | 502-451-1221 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-12-02 |
Last Update Date: | 2016-04-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | ADCLAD00223245 | 101YA0400X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |