Provider Demographics
NPI:1700147014
Name:HARRIS, JANET E
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
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 1:120 CENTER POINTE DR
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-1632
Mailing Address - Country:US
Mailing Address - Phone:931-801-5276
Mailing Address - Fax:931-906-9735
Practice Address - Street 1:120 CENTER POINTE DR
Practice Address - Street 2:SUITE ONE
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-1632
Practice Address - Country:US
Practice Address - Phone:931-801-5276
Practice Address - Fax:931-906-9735
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist