MEDICARE: JAMESHEA HARRIS

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	101YM0800X	Mental Health Counselor
2	224P00000X	Prosthetist		LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396239414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMESHEA HARRIS

Provider Business Mailing Address
First Line	:	1340 W TUNNEL BLVD STE 230
Second Line	:
City	:	HOUMA
State	:	LA
Zip	:	70360-2811
Country	:	US
Telephone Number	:	504-314-1737
Fax Number	:

Provider Business Practice Location Address
First Line	:	10202 PERKINS ROWE STE E-160
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70810-2067
Country	:	US
Telephone Number	:	504-314-1737
Fax Number	:

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

Provider Enumeration Date	:	06/21/2018
Last Update Date	:	06/14/2025

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Directions to “ JAMESHEA HARRIS ” Practice Location

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