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General NPI Number Information
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NPI Number | 1417775883
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Entity Type | Organization
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Legal Business Name | HARRIS COUNSELING AND CONSULTING LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 4229 BARDSTOWN RD STE 307
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City | LOUISVILLE
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State | KY
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Zip | 40218-4270
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Country | US
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Telephone | 502-690-8603
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Fax |
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Provider Business Mailing Address
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Address Line | 9108 TAMARACK GROVE LN
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City | LOUISVILLE
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State | KY
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Zip | 40291-4333
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Country | US
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Telephone | 502-822-0811
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA HARRIS
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Credential | LMFT
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Telephone | 502-822-8111
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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