BETHANY NICHOLE HARRISON LPC-IT
NPI 1629896121
Counselor - Professional in Green Bay, WI

Active since October 02, 2024
2330 MEADOW PARK DR, GREEN BAY, WI 54311(920) 490-4699 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Nichole Harrison Lpc-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY NICHOLE HARRISON LPC-IT (NPI 1629896121) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (8141-266) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1629896121
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANY NICHOLE HARRISONCredential: LPC-IT
Location Address2330 MEADOW PARK DRGreen Bay, WI 54311-6941
Mailing Address4312 Pittco RdGreen Bay, WI 54313-8759 · (920) 501-0670
Sole ProprietorYes
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 1, 2024
NPI 1629896121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 8141-266
2330 MEADOW PARK DR, Green Bay, WI 54311

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
2330 MEADOW PARK DR
GREEN BAY, WI 54311
Counselor (Professional)
2330 MEADOW PARK DR
GREEN BAY, WI 54311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Harrison's NPI number?

The NPI number for Bethany Harrison is 1629896121. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Where is Bethany Harrison located?

Bethany Harrison practices at 2330 Meadow Park Dr, Green Bay, WI 54311. The listed phone number is (920) 490-4699.

What is Bethany Harrison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bethany Harrison was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.