Provider Demographics
NPI:1992529150
Name:HARBISON, CLAIRE (LICSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:HARBISON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MERIDIAN ST N STE 200A
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4682
Mailing Address - Country:US
Mailing Address - Phone:251-689-5523
Mailing Address - Fax:
Practice Address - Street 1:105 WASHINGTON ST SE STE 201
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4827
Practice Address - Country:US
Practice Address - Phone:251-689-5523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-13
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4317C-S1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical