MEDICARE: HARRIS COUNSELING SERVICES, LLC

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
2	101YM0800X	Mental Health Counselor

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	:	1497468896
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	3292 STATE ROUTE 128
Second Line	:
City	:	PRINCETON
State	:	KY
Zip	:	42445-6839
Country	:	US
Telephone Number	:	270-681-5420
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 E WASHINGTON ST
Second Line	:
City	:	PRINCETON
State	:	KY
Zip	:	42445-2249
Country	:	US
Telephone Number	:	270-681-5420
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	ARVEL J HARRIS
Credential	:	LPCC-S, LCADC, CCS
Telephone Number	:	270-313-5000

Provider Enumeration Date	:	12/30/2022
Last Update Date	:	04/12/2024

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Directions to “HARRIS COUNSELING SERVICES, LLC ” Practice Location

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