Doctor Name: | STELLA KAMILLE JANELL HARRIS |
NPI Number: | 1003215575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 2400 White Ave Nashville, TN - 372042235 |
Business Phone Number: | 6154604120 |
Business Fax Number: | |
Mailing Address: | 223 Town Center Pkwy Unit 1137, SPRING HILL |
State: | TN |
Postal Code: | 371743013 |
Phone Number: | 2095962045 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |