| Ayanna Harris Counseling, Plc | |
|
22190 Garrison St Ste 204 Dearborn MI 48124-2235 | |
| (313) 769-5705 | |
| Not Available |
| Full Name | Ayanna Harris Counseling, Plc |
|---|---|
| Speciality | Counselor |
| Location | 22190 Garrison St Ste 204, Dearborn, Michigan |
| Authorized Official Name and Position | Ayanna Harris (OWNER) |
| Authorized Official Contact | 9897144942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ayanna Harris Counseling, Plc 27485 Franklin Rd Apt 105 Southfield MI 48034-8271 Ph: () - | Ayanna Harris Counseling, Plc 22190 Garrison St Ste 204 Dearborn MI 48124-2235 Ph: (313) 769-5705 |
| NPI Number | 1518688811 |
|---|---|
| Provider Enumeration Date | 09/06/2022 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 5193167526 |
|---|---|
| Medicare Enrollment ID | O20240530001154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518688811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ayanna E Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700209855 PECOS PAC ID: 6002258431 Enrollment ID: I20240530001238 |
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