Provider Demographics
NPI:1992285746
Name:MARTI, HARMONY URSO (LPC)
Entity type:Individual
Prefix:MRS
First Name:HARMONY
Middle Name:URSO
Last Name:MARTI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HARMONY
Other - Middle Name:LYNN
Other - Last Name:URSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-INTERN
Mailing Address - Street 1:2700 TIBBETS DR STE 504
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-5916
Mailing Address - Country:US
Mailing Address - Phone:817-851-2042
Mailing Address - Fax:
Practice Address - Street 1:1330 N WHITE CHAPEL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-4323
Practice Address - Country:US
Practice Address - Phone:817-851-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76068101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional