Provider Demographics
NPI:1487172417
Name:HARB, DAVID MONTGOMERY (LMFT)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MONTGOMERY
Last Name:HARB
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 WALDKIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-2427
Mailing Address - Country:US
Mailing Address - Phone:310-497-7450
Mailing Address - Fax:
Practice Address - Street 1:2021 21ST AVE S STE 410
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-4350
Practice Address - Country:US
Practice Address - Phone:615-497-6750
Practice Address - Fax:615-492-6710
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1536106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist