Provider Demographics
NPI:1902140312
Name:HARVELL, ROBIN ARNELLE (COUNSELOR)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ARNELLE
Last Name:HARVELL
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N 2ND ST STE 103
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:MI
Mailing Address - Zip Code:49120-2259
Mailing Address - Country:US
Mailing Address - Phone:269-635-2396
Mailing Address - Fax:
Practice Address - Street 1:20 N 2ND ST STE 103
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:MI
Practice Address - Zip Code:49120-2259
Practice Address - Country:US
Practice Address - Phone:269-635-2396
Practice Address - Fax:269-397-2124
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2023-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011717101YM0800X
6401011717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health