Takedra Harris
Individual provider Active NPI Social Worker · Horn Lake, MS
NPI 1700580883 · NPPES record last updated Mar 30, 2023
Key facts
- NPI
- 1700580883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 6737 Tealwood Dr
Horn Lake, MS 38637-4700 - Phone
- (901) 608-0965
- NPI assigned
- Mar 30, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
6737 Tealwood Dr
Horn Lake, MS 38637-4700
Mailing address
6737 Tealwood Dr
Horn Lake, MS 38637-4700
Phone (901) 608-0965
Other providers in Horn Lake, MS
- Latonika S Guins
- Jennifer Hailey-Dukes
- Haley Hamm
- Happy Smiles LLC
- Joshua Hardin
- Wanda Cook Hartley
- Syed Fazeel Hassan
- Brianna Herron
- Pamela C Higginbottom
- Taylor H Holden
All providers in Horn Lake, MS · Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2023. 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.