Mercedes Harris

Individual provider Active NPI Case Manager/Care Coordinator · Jena, LA

NPI 1013560341 · NPPES record last updated Sep 12, 2022

Key facts

NPI
1013560341
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3683 S First St
Jena, LA 71342-6409
Phone
(318) 992-2263
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Fairway Counseling Agency, Inc. Past
since Jul 25, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3683 S First St
Jena, LA 71342-6409

Mailing address

3683 S First St
Jena, LA 71342-6409
Phone (318) 992-2263

Other providers in Jena, LA

All providers in Jena, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.