Healthcare Provider Details

I. General information

NPI: 1770416331
Provider Name (Legal Business Name): HARRIS COUNSELING & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 E 254TH ST
EUCLID OH
44132-2417
US

IV. Provider business mailing address

814 E 254TH ST
EUCLID OH
44132-2417
US

V. Phone/Fax

Practice location:
  • Phone: 216-798-4722
  • Fax:
Mailing address:
  • Phone: 216-798-4722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHALONDA DERAY HARRIS
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: PMHNP-BC, LPCC-S
Phone: 216-798-4722