ANDREA T. HARRIS (NPI# 1912175258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912175258 |
Entity Type | Individual |
Full Name | ANDREA T. HARRIS |
Practice Address |
Warren-yazoo Mental Health Service 3444 Wisconsin Ave. Vicksburg MS 39180 |
Practice Telephone | 6016380031 |
Mailing Telephone | 6016380031 |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447606652 | Andrea Harris | Counselor | 5500 Lancaster Ln, Commerce Township, MI 48382-2887 | 2016-05-05 |
1043619570 | Andrea Harris | Licensed Practical Nurse | 3820 Walker Ave, Cincinnati, OH 45213-2321 | 2014-08-20 |
1316297435 | Andrea Harris | Case Manager/Care Coordinator | 11006 Cloverland Pl, Tampa, FL 33624-4826 | 2012-09-17 |
1891946091 | Andrea Harris | Social Worker | 4670 Douglas Ave, Bronx, NY 10471-3518 | 2008-10-06 |
1467076166 | Andrea P Harris | Speech-Language Pathologist | 142 Westchester Dr, Lafayette, LA 70506-6242 | 2020-05-29 |
1144851254 | Andrea Harris | Nutritionist | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-28 |
1649828070 | Andrea Harris | Physician Assistant | 2929 E Thomas Rd, Phoenix, AZ 85016-8034 | 2019-08-28 |
1306404744 | Andrea Nuckols Harris | Nurse Practitioner | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2019-05-31 |
1841783446 | Andrea M Harris | Dentist | 18130 W 119th St, Olathe, KS 66061-9532 | 2018-06-08 |
1477097475 | Andrea Harris | Behavior Technician | 2108 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1316 | 2016-12-09 |
Street Address |
WARREN-YAZOO MENTAL HEALTH SERVICE 3444 WISCONSIN AVE. |
City | VICKSBURG |
State | MS |
Zip Code | 39180 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811165152 | Qualon L. Martin | Counselor | Warren-yazoo Mental Health Service, 4333 Wisconsin Ave., Vicksburg, MS 39180-2067 | 2008-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
1740353408 | Ballard Dental Group | Dentist | 3040 Indiana Avenue, Vicksburg, MS 39180 | 2006-11-17 |
Find all providers in zip 39180 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124643069 | Zandral Kewan Green | Counselor | 3442 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2020-06-16 |
1629578729 | Kidzplay Community | Counselor | 1010 Monroe St, Vicksburg, MS 39183-2552 | 2018-02-15 |
1093214751 | Linda Sweezer Enterprises, LLC | Counselor | 1301 Holly St, Vicksburg, MS 39180-3665 | 2018-02-08 |
1760981773 | M & M Behavioral Health Center | Counselor | 1911 Mission 66 Ste G, Vicksburg, MS 39180-3762 | 2018-02-05 |
1932408382 | Tenecia Bullock | Counselor | 3334 Wisconsin Avenue, Warren-yazoo Mental Health Services, Vicksburg, MS 39180-2067 | 2011-03-24 |
1538475173 | Jonathan Reeves | Counselor | 4333 Wisconsin Ave., Vicksburg, MS 39180-2067 | 2010-08-20 |
1255657755 | Pamela Brookins | Counselor | 3444 Wisconsin Ave., Vicksburg, MS 39180-2067 | 2010-04-09 |
1598913881 | Lisa Hackett | Counselor | 3444 Wiscosin Ave., Vicksburg, MS 39180-2067 | 2008-08-29 |
1740474915 | Joseph Daniel Johnson | Counselor | 1911 Mission 66 Ste B, Suite B, Vicksburg, MS 39180-3762 | 2007-08-30 |
1518925866 | James P. Flanders | Counselor | 800 Belmont St, Vicksburg, MS 39180-3828 | 2006-05-03 |
Find all providers in VICKSBURG |
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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.