Provider Demographics
NPI:1376619874
Name:HARRINGTON, JEANNE A (M ED, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:A
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:M ED, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3725 BEE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669
Mailing Address - Country:US
Mailing Address - Phone:512-264-2422
Mailing Address - Fax:512-264-9669
Practice Address - Street 1:801 RR 620 SOUTH, STE 100F
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78734
Practice Address - Country:US
Practice Address - Phone:512-264-3400
Practice Address - Fax:512-264-9669
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 9045, LMFT 3086106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXLPC # 9045OtherLICENSED PRO COUNSELOR
TX0262859Medicaid
TXLMFT # 3086OtherLIC M&FAM THERAPIST