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NPI Code Detail

MEDICARE: MARISSA JAYE HARRIS LPC

MEDICARE:   MARISSA JAYE HARRIS  LPC
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
1101YM0800XMental Health Counselor3414AL

General Provider Information

NPI Number : 1841655974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA JAYE HARRIS LPC
Provider Business Mailing Address
First Line : 100 CENTURY PARK SOUTH
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35226-3949
Country : US
Telephone Number : 205-565-6554
Fax Number : 888-386-9624
Provider Business Practice Location Address
First Line : 100 CENTURY PARK SOUTH
Second Line : SUITE 102
City : BIRMINGHAM
State : AL
Zip : 35226-3949
Country : US
Telephone Number : 205-565-6554
Fax Number : 888-386-9624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 08/02/2024

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Directions to “ MARISSA JAYE HARRIS LPC” Practice Location

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