| Doctor Name: | VICTORIA A HARRIS |
| NPI Number: | 1083782114 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LCAC, MSW |
| License Number: | 34005767A |
| Business Practice Address: | 54 W Broadway St Ste 6 Shelbyville, IN - 461761267 |
| Business Phone Number: | 8123450499 |
| Business Fax Number: | 3173521510 |
| Mailing Address: | 54 W Broadway St Ste 6, SHELBYVILLE |
| State: | IN |
| Postal Code: | 461761267 |
| Phone Number: | 8123450499 |
| Fax Number: | 8667930495 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 34005767A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |