Healthcare Provider Details

I. General information

NPI: 1487946281
Provider Name (Legal Business Name): JEFFERY ROBERT HARRIS LMFT, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 CASABLANCA DR
SAVANNAH GA
31409-5107
US

IV. Provider business mailing address

230 CASABLANCA DR
SAVANNAH GA
31409-5107
US

V. Phone/Fax

Practice location:
  • Phone: 912-315-2884
  • Fax:
Mailing address:
  • Phone: 912-315-2884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC005415
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT001248
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: