Healthcare Provider Details

I. General information

NPI: 1376457929
Provider Name (Legal Business Name): CARLITA K HARRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N MOUNT JULIET RD STE 205
MT JULIET TN
37122-1509
US

IV. Provider business mailing address

416 ZEPHYR CV
LEBANON TN
37087-1552
US

V. Phone/Fax

Practice location:
  • Phone: 615-492-9265
  • Fax:
Mailing address:
  • Phone: 615-485-7852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: