Linda Harris
Individual provider Active NPI Mental Health Counselor · Camilla, GA
NPI 1407285489 · NPPES record last updated Nov 11, 2013
Key facts
- NPI
- 1407285489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 101YMO800X (GA)
- Practice address
- 198 S Macarthur Dr
Camilla, GA 31730-6370 - Phone
- (229) 336-2247
- Fax
- (229) 336-8009
- NPI assigned
- Nov 11, 2013
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YMO800X | GA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 101YMO800X | GA | Yes |
Addresses
Primary practice location
198 S Macarthur Dr
Camilla, GA 31730-6370
Mailing address
PO Box 89
198 S. Macarthur Drive
Camilla, GA 31730-0089
Phone (229) 336-2247
Other providers in Camilla, GA
- Marquita Guyton
- Caryn Hadley
- Ted Hall
- Hands on Companion Agency
- Dennis Harpe
- Penny Long Harris
- Shuntol Harris
- Tania Harris
- Deborah Herndon
- Christopher Cody Hickox
All providers in Camilla, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2013. 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.