Healthcare Provider Details

I. General information

NPI: 1235066911
Provider Name (Legal Business Name): HARRIS PSYCHIATRY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7679 GRAY POINTE DR
LITHONIA GA
30058-8215
US

IV. Provider business mailing address

7679 GRAY POINTE DR
LITHONIA GA
30058-8215
US

V. Phone/Fax

Practice location:
  • Phone: 515-310-4186
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MUSLIMAH HARRIS
Title or Position: OWNER
Credential:
Phone: 515-310-4186