Healthcare Provider Details

I. General information

NPI: 1821965468
Provider Name (Legal Business Name): SHEMIKA MARIE HARRIS ED.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2439 MANHATTAN BLVD STE 308
HARVEY LA
70058-5396
US

IV. Provider business mailing address

719 UPPERLINE ST
NEW ORLEANS LA
70115-1718
US

V. Phone/Fax

Practice location:
  • Phone: 504-264-7189
  • Fax:
Mailing address:
  • Phone: 504-228-6350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPLC10840
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPLC10840
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: