Healthcare Provider Details

I. General information

NPI: 1710891684
Provider Name (Legal Business Name): GEORGIANNA HARPS APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 BROAD ST
SUMTER SC
29150-1811
US

IV. Provider business mailing address

300 RAINBOW DR STE 208
FLORENCE SC
29501-4155
US

V. Phone/Fax

Practice location:
  • Phone: 803-971-4210
  • Fax:
Mailing address:
  • Phone: 843-731-4046
  • Fax: 843-407-1667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number32818
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: