Healthcare Provider Details

I. General information

NPI: 1851209720
Provider Name (Legal Business Name): WILLIAM HARRY HARRIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2324 UNIVERSITY AVE W STE 120
SAINT PAUL MN
55114-1854
US

IV. Provider business mailing address

5135 BLOOMINGTON AVE
MINNEAPOLIS MN
55417-1849
US

V. Phone/Fax

Practice location:
  • Phone: 651-644-4741
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: