Healthcare Provider Details

I. General information

NPI: 1851838361
Provider Name (Legal Business Name): STILL RISING CONSULT HARRIS LSW, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARRON J HARRIS

II. Dates (important events)

Enumeration Date: 01/22/2017
Last Update Date: 08/28/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1071 FISHINGER RD
COLUMBUS OH
43221-2356
US

IV. Provider business mailing address

5958 LEAFRIDGE LN
COLUMBUS OH
43232-7735
US

V. Phone/Fax

Practice location:
  • Phone: 220-216-0621
  • Fax:
Mailing address:
  • Phone: 937-450-7011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLICDC.162385
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.162385
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS1200374
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: