Healthcare Provider Details

I. General information

NPI: 1396239414
Provider Name (Legal Business Name): JAMESHEA HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10202 PERKINS ROWE STE E-160
BATON ROUGE LA
70810-2067
US

IV. Provider business mailing address

1340 W TUNNEL BLVD STE 230
HOUMA LA
70360-2811
US

V. Phone/Fax

Practice location:
  • Phone: 504-314-1737
  • Fax:
Mailing address:
  • Phone: 504-314-1737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: