Healthcare Provider Details

I. General information

NPI: 1578475919
Provider Name (Legal Business Name): SEMIYAH HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BUTTERFLY CV
LITTLE ROCK AR
72210-7101
US

IV. Provider business mailing address

21 BUTTERFLY CV
LITTLE ROCK AR
72210-7101
US

V. Phone/Fax

Practice location:
  • Phone: 501-406-5784
  • Fax:
Mailing address:
  • Phone: 501-406-5784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number943476433
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: