Provider Demographics
NPI:1962238063
Name:HARDEN, TABRIANNA RUTH (LCMHCA, NCC)
Entity type:Individual
Prefix:MISS
First Name:TABRIANNA
Middle Name:RUTH
Last Name:HARDEN
Suffix:
Gender:F
Credentials:LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 W CORNWALLIS DR STE 207
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-6334
Mailing Address - Country:US
Mailing Address - Phone:336-587-5046
Mailing Address - Fax:
Practice Address - Street 1:1515 W CORNWALLIS DR STE 207
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-6334
Practice Address - Country:US
Practice Address - Phone:336-587-5046
Practice Address - Fax:336-585-6269
Is Sole Proprietor?:No
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20538101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health