Healthcare Provider Details

I. General information

NPI: 1346679131
Provider Name (Legal Business Name): ZENIA HARRIS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 SE LAKE WEIR AVE
OCALA FL
34471-6720
US

IV. Provider business mailing address

5700 NW GAINESVILLE RD
OCALA FL
34475-3054
US

V. Phone/Fax

Practice location:
  • Phone: 352-541-5500
  • Fax:
Mailing address:
  • Phone: 352-541-5500
  • Fax: 877-376-2732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number008509900
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number233180
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number008509900
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number233180
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW19714
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: