Healthcare Provider Details

I. General information

NPI: 1740228352
Provider Name (Legal Business Name): APRIL BOWEN HARRISON MA, LSPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 PARK AVE
LEBANON TN
37087-3664
US

IV. Provider business mailing address

440 PARK AVE
LEBANON TN
37087-3664
US

V. Phone/Fax

Practice location:
  • Phone: 615-449-9611
  • Fax: 615-453-7051
Mailing address:
  • Phone: 615-449-9611
  • Fax: 615-453-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPE11762
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: