Nina Harris
Individual provider Active NPI Mental Health Counselor · Sullivan, IL
NPI 1407403165 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1407403165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 12 W Harrison St
Sullivan, IL 61951-1907 - Phone
- (217) 728-4358
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moultrie County Mental Health Center | Mental Health | Current |
Accepting new patients |
Locations
12 W Harrison St
Sullivan, IL 61951
Phone (217) 728-4358
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
12 W Harrison St
Sullivan, IL 61951-1907
Mailing address
12 W Harrison St
Sullivan, IL 61951-1907
Phone (217) 728-4358
Other providers in Sullivan, IL
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- Tamara Lee Foster
- Emily Hall
- Andrew Hardiek
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- Christopher James John Havlik
- William Douglas Havlik
- Healthcom, Inc
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- Katie Hoult
All providers in Sullivan, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. 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.