Samuel Oliver Harrris, is a
Counselor - Mental Health based in Fairview Hts, Illinois. Samuel Oliver Harrris is licensed to practice in * (Not Available) (license number ) and his current practice location is
8 Executive Dr, Fairview Hts, Illinois. He can be reached at his office (for appointments etc.) via phone at
(314) 616-9498.
NPI number for Samuel Oliver Harrris is 1992567531 and his current mailing address is 5408 Nelson Ave, Cahokia Heights, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992567531.
Healthcare Provider's Profile
Full Name | Samuel Oliver Harrris |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 8 Executive Dr, Fairview Hts, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992567531
- Provider Enumeration Date: 01/29/2024
- Last Update Date: 01/29/2024
Medical Identifiers
Medical identifiers for Samuel Oliver Harrris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992567531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Samuel Oliver Harrris 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 |
Samuel Oliver Harrris, 5408 Nelson Ave, Cahokia Heights, IL 62207-2429 Ph: (314) 616-9498 | Samuel Oliver Harrris, 8 Executive Dr, Fairview Hts, IL 62208-1345 Ph: (314) 616-9498 |
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