Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Nichole Harrison, LPC-IT

Individual provider Professional Counselor · NPI 1629896121

Bethany Nichole Harrison, LPC-IT is a Professional Counselor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

2330 Meadow Park Dr
Green Bay, WI 54311-6941
Phone: (920) 490-4699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8141-266 (WI)

Record details

NPI number1629896121
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedOctober 2, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 1, 2024

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