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NPI 1093913154

NPI 1093913154 : HARRIS COUNSELING LLC : NORWALK, CT

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General NPI Number Information
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    NPI Number           |    1093913154
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARRIS COUNSELING LLC 
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Dates
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    Enumeration Date     |    07/10/2007
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    Last Update Date     |    10/10/2014
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Provider Practice Location Address
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    Address Line         |    128 EAST AVENUE FOURTH FLOOR
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851
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    Country              |    US
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    Telephone            |    203-792-4141
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    Fax                  |    888-830-6091
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Provider Business Mailing Address
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    Address Line         |    128 EAST AVENUE FOURTH FLOOR
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06851
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    Country              |    US
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    Telephone            |    203-792-4141
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    Fax                  |    888-830-6091
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. ELLEN L. HARRIS 
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    Credential           |    LCSW
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    Telephone            |    203-792-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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