Elizabeth Anne Harris, M.A.M.F.T.

Individual provider Active NPI Marriage & Family Therapist · Crestwood, KY

NPI 1093469751 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1093469751
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
6100 Breeze Hill Rd
Crestwood, KY 40014-8991
Phone
(502) 386-1118
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X KY Yes

Addresses

Primary practice location

6100 Breeze Hill Rd
Crestwood, KY 40014-8991

Mailing address

6100 Breeze Hill Rd
Crestwood, KY 40014-8991
Phone (502) 386-1118

Electronic endpoints

TypeEndpointUseAffiliation
Other URL liz@brockfamilytherapycenter.com Health Information Exchange (HIE) Brock Family Therapy Center Inc.

Other providers in Crestwood, KY

All providers in Crestwood, KY · Marriage & Family Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.