Marica Neshell Harris

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

049730387 Issued in GA

Practice address

2375 Wall St SE Ste 240
Conyers, GA 30013-2296

Phone

(770) 679-0586

NPI assigned

Jan 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1932979648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WELLBROOK CT NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123832",
            "telephone_number": "478-456-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE STE 240",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132296",
            "telephone_number": "770-679-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARICA",
        "middle_name": "NESHELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB20230980",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "049730387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Harper
• Acie Lee Harps Jr., PHARMD
• Alijah Harris, RBT
• D'Anthony Teon Harris
• Gradea Harris
• Naomi Harris, M.D.
• Shirley Jeanetta Harris
• Erica Harry, L.M.F.T
• Chauntey Harvey, ESTHETICIAN
• Hadi H Hatoum

• Mental Health Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.