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General NPI Number Information
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NPI Number | 1487920419
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Entity Type | Organization
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Legal Business Name | HARRIS BEHAVIORAL & EDUCATIONAL CONSULTING SERVICES, L.L.C
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 1800 JUDSON RD SUTIE 100
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City | LONGVIEW
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State | TX
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Zip | 75605-4708
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Country | US
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Telephone | 903-238-3822
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 JUDSON RD SUTIE 100
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City | LONGVIEW
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State | TX
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Zip | 75605-4708
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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 | CEO
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Name | MS. PATTIE HARRIS
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Credential | LCSW
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Telephone | 903-238-3822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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