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General NPI Number Information
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NPI Number | 1003674474
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Entity Type | Organization
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Legal Business Name | HARRIS COUNSELING GROUP
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 790 63RD AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-5730
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Country | US
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Telephone | 727-359-5477
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Fax |
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Provider Business Mailing Address
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Address Line | 3110 1ST AVENUE NORTH SUITE 2M PMB 1111
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / CLINICIAN
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Name | TERESA HARRIS
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Credential | LPC, LMHC
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Telephone | 727-359-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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