ALAN TYJUAN HARRISON (NPI# 1770794414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770794414 |
| Entity Type | Individual |
| Full Name | ALAN TYJUAN HARRISON |
| Credential | B.A. |
| Practice Address |
252 S Veterans Blvd Tupelo MS 38804-5022 |
| Mailing Address |
1319 4th St S Columbus MS 39701-7349 |
| Practice Telephone | 6628403008 |
| Practice Fax Number | 6628410337 |
| Mailing Telephone | 6625747532 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573630 | Alan Richard Harrison Jr. | Physician Assistant | 7373 France Ave S., Suite 300, Edina, MN 55435-4538 | 2006-03-27 |
| 1114060738 | Alan D. Harrison | Dentist | 8635 21st Ave, Suite 1c, Brooklyn, NY 11214-4049 | 2007-02-14 |
| 1881742310 | Alan Harrison | Dentist | 25882 Orchard Lake Rd Ste 105, Farmington Hills, MI 48336-1294 | 2007-01-08 |
| Street Address |
252 S VETERANS BLVD |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750591376 | Tina Ballard | Social Worker | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-23 |
| 1487855268 | Kathleen Boyd | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-30 |
| 1639370836 | Ashley Johnson Mills | Psychologist | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-29 |
| 1184835381 | Jared Ward | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-28 |
| 1013128396 | Stephanie Lashone Stanfield | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-25 |
| 1336350693 | Ronondo Jerome Bowen | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-25 |
| 1043421613 | Jacklyn Hopper Wadlington | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-25 |
| 1417168295 | Bethany Herring | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
| 1205047289 | Felisia Hodges Cooper | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
| 1710198403 | Cheryl Lynn Whittenberg | Counselor | 252 S Veterans Blvd, Tupelo, MS 38804-5022 | 2007-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
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| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107770 | Natalier Nicole White | Counselor | 252 Veteran Blvd., Tupelo, MS 38801 | 2007-07-30 |
| 1427660604 | Mary Trout | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1598377756 | Haley Lackey | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1386256568 | Anna Michael | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-19 |
| 1770193583 | Brianna Far | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-06 |
| 1285244145 | Tiffany Hooks | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-05 |
| 1679183529 | James Newsom | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2020-08-05 |
| 1669029401 | Robynn Christopherson | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-26 |
| 1194372292 | Kevin Montgomery | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-22 |
| 1780230193 | Lena Clardy | Counselor | 2434 S Eason Blvd, Tupelo, MS 38804-6942 | 2019-08-12 |
| Find all providers in TUPELO | ||||
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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.