Healthcare Provider Details

I. General information

NPI: 1326963349
Provider Name (Legal Business Name): KIMBERLY M HARRIS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 W PARK DR STE 201
GRAND JUNCTION CO
81505-1619
US

IV. Provider business mailing address

2048 F 3/4 RD
GRAND JUNCTION CO
81507-9724
US

V. Phone/Fax

Practice location:
  • Phone: 970-609-7337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0009927327
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: