Doctor Name: | MRS. TERAH NICOLE HARRISON |
NPI Number: | 1780993196 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 64643 |
Business Practice Address: | 5751 Kroger Dr Suite 269 Fort Worth, TX - 762445632 |
Business Phone Number: | 8178122880 |
Business Fax Number: | |
Mailing Address: | 3505 Cattlebaron Dr, ROANOKE |
State: | TX |
Postal Code: | 762625881 |
Phone Number: | 8179750062 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2010 |
NPI Last Update Date: | 02/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 64643 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |