Healthcare Provider Details

I. General information

NPI: 1912633124
Provider Name (Legal Business Name): VHARRIS HOLISTIC HEALTH SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 07/29/2022
Certification Date: 07/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 S SHORE DR APT 3
CHICAGO IL
60615-5719
US

IV. Provider business mailing address

5300 S SHORE DR APT 3
CHICAGO IL
60615-5719
US

V. Phone/Fax

Practice location:
  • Phone: 773-203-2901
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: VALERIE HARRIS
Title or Position: OWNER
Credential:
Phone: 773-203-2901