Harvest Autism & Behavioral Health PLLC
Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Carson, MS
NPI 1740133503 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1740133503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent and Children Mental Health Clinic/Center 261QM0855X
- Legal business name
- HARVEST AUTISM & BEHAVIORAL HEALTH PLLC
- Practice address
- 338 Raynes Rd
Carson, MS 39427-6366 - Phone
- (601) 441-4307
- Fax
- (601) 441-4307
- NPI assigned
- Feb 19, 2026
- Organization subpart
- No
Authorized official
- Name
- Shannon Willis
- Title
- Manager
- Phone
- (601) 441-4307
National Provider Directory
Locations
338 Raynes Rd
Carson, MS 39427
Phone (601) 441-4307
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Yes |
Addresses
Primary practice location
338 Raynes Rd
Carson, MS 39427-6366
Mailing address
338 Raynes Rd
Carson, MS 39427-6366
Phone (601) 441-4307
Other practice location 1
4 Lakeview Rd
Columbia, MS 39429-9721
Phone (601) 441-4307
Other providers in Carson, MS
All providers in Carson, MS · Adolescent and Children Mental Health Clinic/Center 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 31, 2026. 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.