MEDICARE: DR. TRANAE FELICIA HARRIS-BINGHAM PHD, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC013550	GA

General Provider Information

NPI Number	:	1427744804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRANAE FELICIA HARRIS-BINGHAM PHD, LPC

Provider Business Mailing Address
First Line	:	PO BOX 1387
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-8006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 LAKE JONATHAN LN
Second Line	:
City	:	FAIRBURN
State	:	GA
Zip	:	30213-3911
Country	:	US
Telephone Number	:	404-550-4213
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	04/18/2023

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