Harvest Autism & Behavioral Health PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HARVEST AUTISM & BEHAVIORAL HEALTH PLLC

Practice address

4 Lakeview Rd
Columbia, MS 39429-9721

Phone

(601) 441-4307

NPI assigned

Feb 19, 2026

Last updated

Oct 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon Willis

Title

Manager

Phone

(601) 441-4307

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1740133503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 RAYNES RD",
            "city": "CARSON",
            "state": "MS",
            "postal_code": "394276366",
            "telephone_number": "601-441-4307",
            "fax_number": "601-441-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAKEVIEW RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299721",
            "telephone_number": "601-441-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST AUTISM & BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-441-4307"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.