TRACY RENARD HARRIS (NPI# 1467971069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467971069 |
| Entity Type | Individual |
| Full Name | TRACY RENARD HARRIS |
| Practice Address |
1149 Englemeade Dr Shreveport LA 71107 |
| Mailing Address |
1149 Englemeade Dr Shreveport LA 71107-5528 |
| Practice Telephone | 3182720746 |
| Mailing Telephone | 3182720746 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1144779422 | Tracy Harris | Social Worker | 3342 Swinford Ct, Raleigh, NC 27604-4082 | 2016-09-27 |
| 1922459148 | Tracy Harris | Technician, Other | 1263 Sw 46th Ave, Unit 2101, Pompano Beach, FL 33069-6450 | 2016-06-29 |
| 1629412333 | Tracy J Harris | Counselor | 100 Essex Ct Ste A, Madison, AL 35758-3140 | 2013-04-24 |
| 1972782787 | Tracy R. Harris | Counselor | 4056 Old Gentilly Rd, New Orleans, LA 70126-4813 | 2007-10-29 |
| 1356536049 | Tracy Hulse Harris | Speech-Language Pathologist | 340 Dillon Rd, Milton, TN 37118-5527 | 2007-09-06 |
| 1417589805 | Tracy Lynne Harris | Counselor | 30101 Hoover Rd, Warren, MI 48093-6572 | 2020-02-04 |
| 1235628843 | Tracy Harris | Community/Behavioral Health | 2525 Tiller Lane Ste 110, Columbus, OH 43231 | 2018-05-09 |
| 1487161287 | Tracy Lynn Harris | Case Manager/Care Coordinator | 525 Metro Pl N, Dublin, OH 43017-5342 | 2018-01-03 |
| 1427413566 | Tracy Harris | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2015-12-16 |
| 1811366420 | Tracy Harris | Social Worker | 654 Ne 9th Pl, Homestead, FL 33030-4934 | 2015-09-24 |
| Street Address |
1149 ENGLEMEADE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| 1417485012 | Mycheal L Mimes | Social Worker | 1500 N Market St Unit C, Shreveport, LA 71107 | 2017-05-25 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786502 | Erik Rasmussen | Counselor | 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 | 2020-09-25 |
| 1043842750 | Creative Community Counseling LLC | Counselor | 2920 Knight St Ste 131, Shreveport, LA 71105-2412 | 2020-02-11 |
| 1477191591 | Keona Chequise Kidd | Counselor | 2829 Dunlap St, Shreveport, LA 71103-2244 | 2019-12-19 |
| 1336781632 | A New Beginning Counseling Services, LLC | Counselor | 9441 Oleander Dr, Shreveport, LA 71118-4008 | 2019-10-08 |
| 1841840311 | Theresa Davidson Snow | Counselor | 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 | 2019-09-17 |
| 1962057737 | Mariana Penny | Counselor | 152 E College St, Shreveport, LA 71104-2510 | 2019-08-07 |
| 1528622818 | Kendal Redel | Counselor | 10011 Hanover Dr, Shreveport, LA 71115-3430 | 2019-04-23 |
| 1962960351 | Brandon Lewis-graham | Counselor | 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 | 2019-03-05 |
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1659840312 | Donna Brown Franks | Counselor | 236 E Gregg St, Shreveport, LA 71104-5119 | 2018-11-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on TRACY RENARD 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.