Harris, Marissa
Harris, Marissa is an sole proprietor health care provider with primary practice located at 8629 Bluejacket St , Lenexa KS 66214-1604. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Harris, Marissa can be contacted via phone (913) 677-3553.Contact Information
Primary practice address
8629 Bluejacket St
Lenexa KS 66214-1604
Phone: (913) 677-3553
Fax: (913) 677-3282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3517 | Kansas |
Profile Details
| NPI number | 1871187625 |
|---|---|
| LBN Legal business name | Harris, Marissa |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2021 |
| Last updated | Feb 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871187625 | NPPES |
| Kansas | MEDICAID | 100240930A |
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