MEDICARE: HARRIS HILL COUNELING LCSW PLLC

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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1447784798
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS HILL COUNELING LCSW PLLC

Provider Business Mailing Address
First Line	:	8612 MAIN STREET
Second Line	:	SUITE 1
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221
Country	:	US
Telephone Number	:	716-458-0055
Fax Number	:	716-328-0015

Provider Business Practice Location Address
First Line	:	8612 MAIN STREET
Second Line	:	SUITE 1
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221
Country	:	US
Telephone Number	:	716-458-0055
Fax Number	:	716-328-0015

Authorized Official
Title or Position	:	C.O.O.
Name	:	JONATHAN SADKIN
Credential	:
Telephone Number	:	716-458-0055

Provider Enumeration Date	:	04/13/2017
Last Update Date	:	04/13/2026

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