Provider Demographics
NPI:1174220255
Name:HARPER-VALLEZ, JUDY (LCSW)
Entity type:Individual
Prefix:MS
First Name:JUDY
Middle Name:
Last Name:HARPER-VALLEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 RED CUT RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-1681
Mailing Address - Country:US
Mailing Address - Phone:318-884-7989
Mailing Address - Fax:
Practice Address - Street 1:REHABILITATION SERVICES OF NELA
Practice Address - Street 2:4306 SOUTH GRAND STREET
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202
Practice Address - Country:US
Practice Address - Phone:318-935-9463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA90761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical