MS. DAMITA JO HARRIS (NPI# 1528240280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528240280 |
Entity Type | Individual |
Full Name | MS. DAMITA JO HARRIS |
Other Name | MS. DAMITA JO HARRIS-KNOWLES |
Credential | PROF. COUNSELOR LTD |
Practice Address |
1800 Grindley Park St Suite 1 Dearborn MI 48124-2553 |
Mailing Address |
12919 Dixie Redford MI 48239-2601 |
Practice Telephone | 3136236244 |
Practice Fax Number | 3132773414 |
Mailing Telephone | 3136236244 |
Mailing Fax Number | 3132773414 |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
6401007360 | MI | Behavioral Health & Social Service Providers |
Street Address |
1800 GRINDLEY PARK ST SUITE 1 |
City | DEARBORN |
State | MI |
Zip Code | 48124-2553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659732691 | Progressive Recovery LLC | Counselor | 1800 Grindley Park St, Dearborn, MI 48124-2553 | 2016-03-18 |
1225376486 | Pioneer Drugs Inc | Pharmacy | 1800 Grindley Park St, Suite 1, Dearborn, MI 48124-2553 | 2013-01-23 |
1871864579 | Hoberman Clinic | Counselor | 1800 Grindley Park St, Suite 3, Dearborn, MI 48124-2553 | 2012-01-26 |
1720360456 | Testing and Treatment Services of Michigan | Exclusive Provider Organization | 1800 Grindley Park St, Suite 1, Dearborn, MI 48124-2553 | 2011-09-20 |
1174850820 | Sandra J Zimberg | Social Worker | 1800 Grindley Park St, Suite 3, Dearborn, MI 48124-2553 | 2009-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
Find all providers in zip 48124 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073974234 | Bryan Granger | Counselor | 5500 Auto Club Dr Ste 350, Dearborn, MI 48126-2779 | 2016-03-16 |
1952730624 | Sanaa Nadim Haidar | Counselor | 835 Mason St, Dearborn, MI 48124-2231 | 2013-11-04 |
1346418944 | Bernadine Geraldine Mistor | Counselor | 7466 Calhoun St, Dearborn, MI 48126-1433 | 2008-02-15 |
1194324186 | I.m.a.g.e. Counseling Services | Counselor | 22190 Garrison St Ste 204, Dearborn, MI 48124-2235 | 2020-10-20 |
1689280182 | Tori Andrews | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2020-09-20 |
1295340362 | Lina Bazzi | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2020-09-15 |
1841802469 | Corryn Helen Jackson | Counselor | 19855 Outer Dr Ste 300, Dearborn, MI 48124-2022 | 2020-08-17 |
1114551033 | Paige Kristine Rutkowski | Counselor | 22190 Garrison St Ste 204, Dearborn, MI 48124-2235 | 2020-02-29 |
1043795628 | Lisa Michelle Green | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-28 |
1578047734 | John Glen Flood I | Counselor | 835 Mason St Ste B220, Dearborn, MI 48124-2262 | 2018-09-23 |
Find all providers in DEARBORN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.