Deborah Ann Harris, RPRS
Individual provider Active NPI Peer Specialist · VA Beach, VA
NPI 1124780937 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1124780937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 0735000380 (VA)
- Practice address
- 5998 Providence Rd Ste 106a
VA Beach, VA 23464-3828 - Phone
- (757) 891-5922
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0735000380 | VA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0735000380 | VA | Yes |
Addresses
Primary practice location
5998 Providence Rd Ste 106a
VA Beach, VA 23464-3828
Mailing address
5998 Providence Rd Ste 106a
Virginia Beach, VA 23464-3828
Phone (757) 891-5922
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.yourwellnessinc.net |
Other providers in VA Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.