Brandi Lynn Harris, LCMHCS, LCAS,CSI NCC | |
118 Ebenezer Rd, Old Fort, NC 28762-7846 | |
(302) 607-8661 | |
Not Available |
Full Name | Brandi Lynn Harris |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 118 Ebenezer Rd, Old Fort, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205011129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Thriveworks Clinical - North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669 |
Mailing Address | Practice Location Address |
---|---|
Brandi Lynn Harris, LCMHCS, LCAS,CSI NCC 118 Ebenezer Rd, Old Fort, NC 28762-7846 Ph: (302) 607-8661 | Brandi Lynn Harris, LCMHCS, LCAS,CSI NCC 118 Ebenezer Rd, Old Fort, NC 28762-7846 Ph: (302) 607-8661 |
Kevin Waller, LPCS, LCAS, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 Graphite Rd, Old Fort, NC 28762 Phone: 828-668-7590 | |
Mr. Jon Charles Tripp, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Mackey Farm Dr, Old Fort, NC 28762 Phone: 828-652-1318 | |
Joy Dawn Molina, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 Catawba Ave Apt D, Old Fort, NC 28762 Phone: 828-357-7425 | |
Ms. Jeanette Moore Furan, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 852 Silvers Welch Rd, Old Fort, NC 28762 Phone: 828-668-4018 Fax: 828-668-4018 | |
Jennifer Ann Stulck, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 363 Graphite Rd, Old Fort, NC 28762 Phone: 781-541-0073 |