Edna R Harvey, CMHT

Individual provider Active NPI Marriage & Family Therapist · McComb, MS

NPI 1093737405 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093737405
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
T0215 (MS)
Practice address
1701 White St
McComb, MS 39648-2711
Phone
(601) 684-2173
Fax
(601) 249-4234
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T0215MSMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0215 MS Yes

Addresses

Primary practice location

1701 White St
McComb, MS 39648-2711

Mailing address

PO Box 1563
Woodville, MS 39669-1563

Other providers in McComb, MS

All providers in McComb, MS · Marriage & Family Therapist in Mississippi

Sources for this page

Verify at the official NPI Registry.