HERBERT HARRIS SR.


Address: 17563 Kentucky St, Detroit, MI 48221-2408
Phone: 3139272779

HERBERT HARRIS SR. (NPI# 1366859795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366859795
Entity Type Individual
Full Name HERBERT HARRIS SR.
Practice Address 17563 Kentucky St
Detroit
MI 48221-2408
Practice Telephone 3139272779
Practice Fax Number 3138260565
Mailing Telephone 3137334859
Mailing Fax Number 3138260565
Enumeration Date 2014-07-17
Last Update Date 2014-07-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6802064962 MI Behavioral Health & Social Service Providers

Other Providers HERBERT HARRIS

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Office Location

Street Address 17563 KENTUCKY ST
City DETROIT
State MI
Zip Code 48221-2408

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

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.

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