Provider Demographics
NPI:1295883239
Name:HARRIS, TERRIE A (LPCC-S)
Entity type:Individual
Prefix:MS
First Name:TERRIE
Middle Name:A
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:TERRIE
Other - Middle Name:ANN
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S
Mailing Address - Street 1:348 KY ROUTE 3188
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:KY
Mailing Address - Zip Code:41645-8910
Mailing Address - Country:US
Mailing Address - Phone:606-226-6892
Mailing Address - Fax:606-285-1007
Practice Address - Street 1:348 KY ROUTE 3188
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:KY
Practice Address - Zip Code:41645-8910
Practice Address - Country:US
Practice Address - Phone:606-226-6892
Practice Address - Fax:606-769-0868
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY104474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional