MS. ORETHA HARRIS (NPI# 1336558501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336558501 |
| Entity Type | Individual |
| Full Name | MS. ORETHA HARRIS |
| Credential | LPC |
| Practice Address |
1724 Roxie Ave Fayetteville NC 28304-1623 |
| Practice Telephone | 9106153333 |
| Practice Fax Number | 9106159765 |
| Mailing Telephone | 9106153333 |
| Mailing Fax Number | 9106159765 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2015-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
11416 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE NUMBER | 11416 | 01 |
| Street Address |
1724 ROXIE AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184694481 | Aaron Avrum Brodsky | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2006-01-26 |
| 1063041259 | Leon Kentrelle Williams | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2020-04-08 |
| 1801451216 | Recovery Innovations, Inc | Community/Behavioral Health | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2019-05-01 |
| 1720441165 | Richard Watson | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2016-04-02 |
| 1851702856 | Eddrena C Wiggins | Social Worker | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-05-13 |
| 1124443163 | Diana Wilma Avila | Counselor | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2014-02-27 |
| 1740537638 | Elizabeth Rae Bakisae Albright | Physician Assistant | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2012-08-09 |
| 1720384423 | Cumberland Co. Hospital System Inc | Psychiatric Unit | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2011-01-28 |
| 1750412516 | County of Cumberland | Psychiatry & Neurology | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-03-07 |
| 1811036205 | Anthony Wayne Cannon | Psychologist | 1724 Roxie Ave, Fayetteville, NC 28304-1623 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899986 | Cynthia Hrdlichka | Counselor | 2224 E Elaine Ave, Fayetteville, AR 72703-4507 | 2020-10-20 |
| 1568069169 | Blaire Bradbury | Counselor | 1466 N Desoto Pl, Fayetteville, AR 72703-1953 | 2020-10-06 |
| 1588294631 | Puzzle Collaborative | Counselor | 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 | 2020-01-16 |
| 1700421724 | Waylon Vande Hoef | Counselor | 1925 N Green Acres Rd, Fayetteville, AR 72703-2617 | 2019-11-13 |
| 1730640137 | Sherrita Hedgepeth | Counselor | 1351 Glen Iris Dr Apt 105, Fayetteville, NC 28314-6190 | 2019-03-28 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1073006540 | Rona Gooden | Counselor | 706 Dandridge Dr, Fayetteville, NC 28303-2017 | 2018-06-10 |
| 1194229245 | The Welling Place LLC | Counselor | 2525 Raeford Rd Ste C, Fayetteville, NC 28305-5092 | 2018-03-22 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1376062539 | Monique R Darnell | Counselor | 320 W. Lanier Avenue Ste 200, Fayetteville, GA 30214 | 2017-09-19 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on MS. ORETHA HARRIS.
| 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.