Healthcare Provider Details

I. General information

NPI: 1114116886
Provider Name (Legal Business Name): SHELIALANNA L HARRIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 OAK GROVE RD STE A
CONCORD CA
94518-3225
US

IV. Provider business mailing address

1034 OAK GROVE RD STE A
CONCORD CA
94518-3225
US

V. Phone/Fax

Practice location:
  • Phone: 925-655-1500
  • Fax: 925-655-1552
Mailing address:
  • Phone: 925-655-1500
  • Fax: 925-655-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC 51623
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: