Provider Demographics
NPI:1679870471
Name:HARRINGER, CARLA MARIA (MA, LICENSED PROFE)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:MARIA
Last Name:HARRINGER
Suffix:
Gender:F
Credentials:MA, LICENSED PROFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7908
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78683
Mailing Address - Country:US
Mailing Address - Phone:512-293-5996
Mailing Address - Fax:
Practice Address - Street 1:400 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664
Practice Address - Country:US
Practice Address - Phone:512-293-5996
Practice Address - Fax:512-218-1118
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60188101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor