Leesa Lynette Harris, LMHC | |
2050 N Main St Ste C, Crown Point, IN 46307-2048 | |
(219) 662-3300 | |
(219) 662-3301 |
Full Name | Leesa Lynette Harris |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2050 N Main St Ste C, Crown Point, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689441602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 39000408A (Indiana) | Primary |
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
---|---|
Leesa Lynette Harris, LMHC Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Leesa Lynette Harris, LMHC 2050 N Main St Ste C, Crown Point, IN 46307-2048 Ph: (219) 662-3300 |
Suzanne Jean Bonaventura-krischke, MSW Counselor Medicare: Medicare Enrolled Practice Location: 250 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 Fax: 219-663-6155 | |
Kristina Nicole Fairbanks, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jeremy Wirtz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Jilian M Hus, LMHC, CCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11506 Kentucky St, Crown Point, IN 46307 Phone: 219-440-2239 | |
Maegan Glass, MA, LMHCA, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-301-0206 | |
Adam Michael Johnson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1308 N Main St, Crown Point, IN 46307 Phone: 219-663-6353 | |
Nicole Bashan Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 W 98th Ave, Crown Point, IN 46307 Phone: 219-789-9185 |