Provider Demographics
NPI:1619852381
Name:HARBISON, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:HARBISON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 MALLARD TRL NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-7537
Mailing Address - Country:US
Mailing Address - Phone:423-790-9156
Mailing Address - Fax:423-790-9156
Practice Address - Street 1:440 STUART RD NE STE 2
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-4959
Practice Address - Country:US
Practice Address - Phone:423-451-8747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician