T'Aaliyah Brianna Lashawn Harris

Individual provider Active NPI Case Manager/Care Coordinator · Hamilton, OH

NPI 1780216895 · NPPES record last updated Feb 6, 2020

Key facts

NPI
1780216895
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
515 Dayton St
Hamilton, OH 45011-3455
Phone
(513) 953-3863
NPI assigned
Feb 6, 2020
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193400000X SINGLE SPECIALTY GROUP
171M00000X Yes

Addresses

Primary practice location

515 Dayton St
Hamilton, OH 45011-3455

Mailing address

133 Beckett St
Hamilton, OH 45011-3101
Phone (513) 953-3863

Other providers in Hamilton, OH

All providers in Hamilton, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.