=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417151507
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES FRANKLIN HARRIS LICSW
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/12/2007
-----------------------------------------------------
Last Update Date | 05/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 320 18TH STREET GULLICKSON HALL SUITE G01
-----------------------------------------------------
City | HUNTINGTON
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25755-1315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-696-3751
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 302 TOWNSHIP ROAD 1483
-----------------------------------------------------
City | CHESAPEAKE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45619-8587
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-638-2435
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | DP00942646
-----------------------------------------------------
License Number State | WV
-----------------------------------------------------