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General NPI Number Information
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NPI Number | 1871862292
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Entity Type | Individual
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Provider Name | MITZI M HARRINGTON LPC
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Gender | Female
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Dates
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Enumeration Date | 12/14/2011
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 400 AIRPORT RD
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City | TERRELL
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State | TX
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Zip | 75160-4302
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Country | US
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Telephone | 972-524-4145
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Fax | 972-563-4433
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Provider Business Mailing Address
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Address Line | 107 W 20TH ST SUITE 182
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City | MT PLEASANT
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State | TX
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Zip | 75455-2323
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Country | US
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Telephone | 972-524-4159
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Fax | 972-563-4433
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2761
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17921
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License Number State | TX
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