MEDICARE: SHIRLEY HARRISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1073857868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIRLEY HARRISON

Provider Business Mailing Address
First Line	:	576 PALMERSTON ST
Second Line	:
City	:	RIVER ROUGE
State	:	MI
Zip	:	48218-1154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	576 PALMERSTON ST
Second Line	:
City	:	RIVER ROUGE
State	:	MI
Zip	:	48218-1154
Country	:	US
Telephone Number	:	313-456-1297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	11/16/2012

Similar Medicare Providers

1366331258 — AALIYAH ARCHIE
Practice Location Address:

560 PALMERSTON ST
RIVER ROUGE, MI
48218-1154

Practice Phone: 313-957-8893
Practice Fax:

1467134346 — WEST THERAPY SOLUTIONS
Practice Location Address:

6757 SILVERLEAF AVE
BATON ROUGE, LA
70812-1154

Practice Phone: 225-485-4828
Practice Fax:

1609117423 — MRS. SAMANTHA SUE SAN FELIPPO M.S., CCC-SLP, TSSLD
Practice Location Address:

1154 SAW MILL RIVER RD
YONKERS, NY
10710-3210

Practice Phone: 914-318-8779
Practice Fax:

1790174605 — WALTER DORRITIE MS, CCC-SLP
Practice Location Address:

1154 SAW MILL RIVER RD
YONKERS, NY
10710-3210

Practice Phone: 914-968-4854
Practice Fax: 914-968-4857

1275922098 — MARIA PAYANO
Practice Location Address:

1154 SAW MILL RIVER RD
YONKERS, NY
10710-3210

Practice Phone: 914-968-4854
Practice Fax:

1376932715 — FREDERICK GLASER
Practice Location Address:

1154 SAW MILL RIVER RD
YONKERS, NY
10710-3210

Practice Phone: 914-968-4854
Practice Fax:

Directions to “ SHIRLEY HARRISON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.