Provider Demographics
NPI:1891570461
Name:HARRELL, MICAH DAWN (MS, NCC)
Entity Type:Individual
Prefix:
First Name:MICAH
Middle Name:DAWN
Last Name:HARRELL
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 ARKANSAS ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38109-1566
Mailing Address - Country:US
Mailing Address - Phone:901-626-3516
Mailing Address - Fax:
Practice Address - Street 1:LIPSCOMB UNIVERSITY COUNSELING CENTER
Practice Address - Street 2:1 UNIVERSITY PARK DR
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-3956
Practice Address - Country:US
Practice Address - Phone:901-626-3516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health