Provider Demographics
NPI:1457814675
Name:TRAUMA & THERAPY CENTER OF TN., PLLC
Entity Type:Organization
Organization Name:TRAUMA & THERAPY CENTER OF TN., PLLC
Other - Org Name:HARRIS PROFESSIONAL COUNSELING SERVICES, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VALARIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-MHSP, NCC
Authorized Official - Phone:931-218-6100
Mailing Address - Street 1:600 S ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5268
Mailing Address - Country:US
Mailing Address - Phone:931-218-6100
Mailing Address - Fax:931-477-2377
Practice Address - Street 1:600 S ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5268
Practice Address - Country:US
Practice Address - Phone:931-218-6100
Practice Address - Fax:931-477-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-14
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2412OtherLICENSED PROFESSIONAL COUNSELOR, MENTAL HEALTH SERVICE PROVIDER
TN5590OtherLICENSED PROFESSIONAL COUNSELOR, MENTAL HEALTH
TN5485OtherLICENSED PROFESSIONAL COUNSELOR, MENTAL HEALTH
TN4827OtherLICENSED PROFESSIONAL COUNSELOR, MENTAL HEALTH