CHARLISSA SUANN HARRIS (NPI# 1891941480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891941480 |
| Entity Type | Individual |
| Full Name | CHARLISSA SUANN HARRIS |
| Credential | BS, CADC |
| Practice Address |
1203 American Greeting Card Rd Corbin KY 40701-4811 |
| Mailing Address |
Po Box 568 Corbin KY 40702-0568 |
| Practice Telephone | 6065287010 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2016-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
118188 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1203 AMERICAN GREETING CARD RD |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384566 | Marletta Kay Lawson | Nurse Practitioner | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2005-05-24 |
| 1366043556 | Chelsey Cain | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-11-04 |
| 1891396271 | Chloe Beth Parks | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-11-03 |
| 1407456809 | Katherine Johnson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-27 |
| 1477152254 | Tina Marie Futrell | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-22 |
| 1437758604 | Cassandra Strawser | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-20 |
| 1730788936 | Slade Moore | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-20 |
| 1942808993 | Alexis Sizemore | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-13 |
| 1417555327 | Cordie Wilson | Counselor | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-13 |
| 1659979722 | Mackenzie Blake House | Case Manager/Care Coordinator | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2020-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740747443 | Mason Joel Jeffries | Counselor | 610 American Greeting Card Rd, Corbin, KY 40701-4805 | 2019-02-28 |
| 1194217869 | Juanita Hendrickson | Counselor | Cumberland Rivers 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2018-05-30 |
| 1821545260 | Amber Loren Coffey | Counselor | 1840 Cumberland Falls Hwy, Corbin, KY 40701-2729 | 2016-09-01 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1922490283 | Rebecca Nantz | Counselor | 967 Us Highway 25 W, Corbin, KY 40701-4543 | 2015-02-24 |
| 1346648904 | Carolyn Bowling | Counselor | 3110 Cumberland Falls Hwy, Corbin, KY 40701-8681 | 2014-12-15 |
| 1457794208 | Sherri Lynn Gibbs | Counselor | 45 West Point Lane, Corbin, KY 40701-7804 | 2013-04-11 |
| 1710105762 | Eliza Diane Clontz | Counselor | 1019 Cumberland Falls Hwy Ste B201, Corbin, KY 40701 | 2007-04-23 |
| 1932708930 | Crystal Michelle Mayes | Counselor | 967 Us Highway 25 W, Corbin, KY 40701-4543 | 2020-10-21 |
| 1245842616 | Cynthia Money | Counselor | 967 Us Highway 25 W, Corbin, KY 40701-4543 | 2020-08-18 |
| Find all providers in CORBIN | ||||
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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.