MEDICARE: HARRIS HOLISTIC HEALTH & COUNSELING

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1528936960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS HOLISTIC HEALTH & COUNSELING

Provider Business Mailing Address
First Line	:	1416 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 N 62ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19151-3801
Country	:	US
Telephone Number	:	267-312-1192
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	USMAN MOBEEN
Credential	:
Telephone Number	:	786-936-3966

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	10/27/2025

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