Provider Demographics
NPI:1154629228
Name:HARRIS, STEPHEN D (LMFT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:D
Last Name:HARRIS
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 1:1619 WELLINGTON GRN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5357
Mailing Address - Country:US
Mailing Address - Phone:615-794-5060
Mailing Address - Fax:
Practice Address - Street 1:504 AUTUMN SPRINGS CT
Practice Address - Street 2:SUITE 4
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8277
Practice Address - Country:US
Practice Address - Phone:615-474-7204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN718106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist