Harris, Beverly

Harris, Beverly is an sole proprietor health care provider with primary practice located at 4046 Highway 154 Ste 114 , Newnan GA 30265-2330. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Harris, Beverly can be contacted via phone (678) 523-1715.

Contact Information

Primary practice address
4046 Highway 154 Ste 114 Newnan GA 30265-2330
Phone: (678) 523-1715
Fax: (678) 490-2330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC003014 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC003014 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC003014 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LPC003014 Georgia

Profile Details

NPI number 1659663086
LBN Legal business name Harris, Beverly
Credentials LPC, NCC, DCC,BC-HSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2011
Last updated Mar 7th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659663086 NPPES
Georgia MEDICAID 003109153A

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