Healthcare Provider Details

I. General information

NPI: 1669301495
Provider Name (Legal Business Name): TERRAN HARRISON LANDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 PROFESSIONAL PLAZA DR STE 1
GREENEVILLE TN
37745-5102
US

IV. Provider business mailing address

701 PROFESSIONAL PLAZA DR STE 1
GREENEVILLE TN
37745-5102
US

V. Phone/Fax

Practice location:
  • Phone: 423-930-9112
  • Fax: 423-588-5904
Mailing address:
  • Phone: 423-930-9112
  • Fax: 423-588-5904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7736
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: