1831852599 NPI number — SHAQUANDRIA QUINTINETTE HARRIS LPC-A

Table of content: SHAQUANDRIA QUINTINETTE HARRIS LPC-A (NPI 1831852599)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831852599 NPI number — SHAQUANDRIA QUINTINETTE HARRIS LPC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARRIS
Provider First Name:
SHAQUANDRIA
Provider Middle Name:
QUINTINETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831852599
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/12/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 181
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHBURG
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29729-0181
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-374-4090
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 SPRINGTREE DR STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29223-8614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-722-4975
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  7595 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1568476885 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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