Provider Demographics
NPI:1679604995
Name:HARRIS, TERRE S
Entity Type:Individual
Prefix:
First Name:TERRE
Middle Name:S
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 WENLON DR
Mailing Address - Street 2:A9
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1910
Mailing Address - Country:US
Mailing Address - Phone:615-893-1181
Mailing Address - Fax:
Practice Address - Street 1:1330 WENLON DR
Practice Address - Street 2:A9
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-1910
Practice Address - Country:US
Practice Address - Phone:615-893-1181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor