Fachon Harris, LCSW-A, LCAS-A is a
Social Worker - Clinical based in Raleigh, North Carolina. Fachon Harris is licensed to practice in North Carolina (license number P013459) and her current practice location is
3012 Falstaff Rd, Raleigh, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(919) 615-1027.
NPI number for Fachon Harris is 1912506072 and her current mailing address is 706 Green Pace Rd, Zebulon, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912506072.
Healthcare Provider's Profile
Full Name | Fachon Harris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3012 Falstaff Rd, Raleigh, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912506072
- Provider Enumeration Date: 10/20/2020
- Last Update Date: 10/20/2020
Medical Identifiers
Medical identifiers for Fachon Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912506072 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P013459 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fachon Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fachon Harris, LCSW-A, LCAS-A 706 Green Pace Rd, Zebulon, NC 27597-8541 Ph: (910) 583-3994 | Fachon Harris, LCSW-A, LCAS-A 3012 Falstaff Rd, Raleigh, NC 27610-1813 Ph: (919) 615-1027 |
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