1114262482 NPI number — MS. LORI P HARROW MA, LPC, NCC

Table of content: MS. LORI P HARROW MA, LPC, NCC (NPI 1114262482)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114262482 NPI number — MS. LORI P HARROW MA, LPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARROW
Provider First Name:
LORI
Provider Middle Name:
P
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114262482
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19200 WILDCAT TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAVIDSON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28036-7856
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-451-9668
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 COMMERCE CENTRE DR STE 305
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-5805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-451-9668
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  9281 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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