MEDICARE: LAURA HARRISON LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	015798	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134805906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA HARRISON LMHC

Provider Business Mailing Address
First Line	:	2 DAVIS PNES APT D
Second Line	:
City	:	MENANDS
State	:	NY
Zip	:	12204-2358
Country	:	US
Telephone Number	:	518-347-7908
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 NORMANSKILL BLVD STE 202
Second Line	:
City	:	DELMAR
State	:	NY
Zip	:	12054-1331
Country	:	US
Telephone Number	:	518-347-7908
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2023
Last Update Date	:	03/14/2026

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