Provider Demographics
NPI:1558533976
Name:HARRINGTON, CHARMAINE BEATRICE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHARMAINE
Middle Name:BEATRICE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N ROOSEVELT BLVD
Mailing Address - Street 2:SUITE #613
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-3139
Mailing Address - Country:US
Mailing Address - Phone:703-533-1170
Mailing Address - Fax:
Practice Address - Street 1:261 W PALMER AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5654
Practice Address - Country:US
Practice Address - Phone:910-875-6451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1009103TA0400X
MDLCA394103TA0400X
VA0718000223103TA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)