BERNEICE HARRIS


Address: 120 S Park Sq Ne Ste 205, Marietta, GA 30060-8632
Phone: 4042595819

BERNEICE HARRIS (NPI# 1811485550) 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) 1811485550
Entity Type Individual
Full Name BERNEICE HARRIS
Practice Address 120 S Park Sq Ne Ste 205
Marietta
GA 30060-8632
Mailing Address 3424 Chancellors Dr
Powder Springs
GA 30127-2157
Practice Telephone 4042595819
Practice Fax Number 7707260377
Mailing Telephone 4042595819
Mailing Fax Number 7707260377
Enumeration Date 2018-04-27
Last Update Date 2018-04-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
164 GA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
164 GA Behavioral Health & Social Service Providers
N 251B00000X Case Management 164 GA Agencies

Office Location

Street Address 120 S PARK SQ NE STE 205
City MARIETTA
State GA
Zip Code 30060-8632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477194371 Dana Rene Forshey Counselor 1165 Lynch Church Rd, Marietta, OH 45750-7530 2019-10-01
1811540123 Ashley Baker Counselor 1417 Lancaster St, Marietta, OH 45750-7973 2019-07-17
1598279754 Marc V Pimsler Counselor 2621 Sandy Plains Rd Ste 101, Marietta, GA 30066-4276 2017-11-27
1891217600 Crossover Outpatient Services LLC Counselor 241 Lemon St Ne Ste C, Marietta, GA 30060-1644 2017-07-13
1033646864 Aminta Osejo Counselor 1368 Atlanta Rd Se Ste 111, Marietta, GA 30060-3936 2017-05-11
1144755752 Kawonda Holland Counselor 2117 Caswell Cir, Marietta, GA 30060-9262 2017-04-21
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1336518620 Courtney Stires Counselor 1338 Colegate Dr Ste B, Marietta, OH 45750-1329 2015-09-17
1699172684 Kim L Roberts Counselor 1801 Baldwin Farms Dr, Marietta, GA 30068-1555 2014-11-19
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Competitor

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City MARIETTA
Zip Code 30060

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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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