Doctor Name: | DANIELLE HARRIS |
NPI Number: | 1033584131 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHS |
License Number: | 007673187 |
Business Practice Address: | 404 Hearne Ave Shreveport, LA - 711032022 |
Business Phone Number: | 3187161369 |
Business Fax Number: | 3186750120 |
Mailing Address: | 404 Hearne Ave, SHREVEPORT |
State: | LA |
Postal Code: | 711032022 |
Phone Number: | 3187161369 |
Fax Number: | 3186750120 |
NPI Enumeration Date: | 12/01/2015 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 007673187 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |