Healthcare Provider Details

I. General information

NPI: 1831215839
Provider Name (Legal Business Name): VIRGINIA ANNE HARRIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6241 TAMI WAY
CARMICHAEL CA
95608-2432
US

IV. Provider business mailing address

PO BOX 2207
CARMICHAEL CA
95609-2207
US

V. Phone/Fax

Practice location:
  • Phone: 916-827-0358
  • Fax: 916-827-0854
Mailing address:
  • Phone: 916-827-0358
  • Fax: 916-827-0854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT27226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: