Healthcare Provider Details

I. General information

NPI: 1902495229
Provider Name (Legal Business Name): MARIA GABRIELLE HARRIS LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 WEST RD
HARRISON OH
45030-1929
US

IV. Provider business mailing address

9850 WEST RD
HARRISON OH
45030-1929
US

V. Phone/Fax

Practice location:
  • Phone: 513-272-4550
  • Fax: 513-367-5594
Mailing address:
  • Phone: 513-272-4550
  • Fax: 513-367-5594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberE.2404807
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: