Provider Demographics
NPI:1447086533
Name:HARMAN, MADISON (TLMFT)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:HARMAN
Suffix:
Gender:F
Credentials:TLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 B AVE
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:IA
Mailing Address - Zip Code:52315-9660
Mailing Address - Country:US
Mailing Address - Phone:319-241-2979
Mailing Address - Fax:
Practice Address - Street 1:2720 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4832
Practice Address - Country:US
Practice Address - Phone:888-336-9661
Practice Address - Fax:319-200-2516
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120863106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist