Healthcare Provider Details

I. General information

NPI: 1447162334
Provider Name (Legal Business Name): HARRISON HEALTH PROFESSIONAL NV PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 E CARSON AVE STE 1033
LAS VEGAS NV
89101-5909
US

IV. Provider business mailing address

348 N PEARL ST STE 200
BROCKTON MA
02301-1197
US

V. Phone/Fax

Practice location:
  • Phone: 781-487-1107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: NZINGA HARRISON
Title or Position: FOUNDER
Credential: MD
Phone: 617-419-0858