Harris Behavioral Health Services Llc | |
109 Jolly Roger Dr Monroe LA 71203-2137 | |
(318) 803-6402 | |
(318) 528-1492 |
Full Name | Harris Behavioral Health Services Llc |
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Speciality | Nurse Practitioner |
Location | 109 Jolly Roger Dr, Monroe, Louisiana |
Authorized Official Name and Position | Alechia Parker (OFFICE MANAGER) |
Authorized Official Contact | 3182370023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harris Behavioral Health Services Llc 109 Jolly Roger Dr Monroe LA 71203-2137 Ph: () - | Harris Behavioral Health Services Llc 109 Jolly Roger Dr Monroe LA 71203-2137 Ph: (318) 803-6402 |
NPI Number | 1639940554 |
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Provider Enumeration Date | 01/10/2024 |
Last Update Date | 04/25/2024 |
Certification Date | 04/25/2024 |
Medicare PECOS PAC ID | 8426493339 |
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Medicare Enrollment ID | O20240301001784 |
Identifier | Type | State | Issuer |
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1639940554 | NPI | - | NPPES |
Provider Name | Jaimie Alechia Treadway Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184308371 PECOS PAC ID: 3577927128 Enrollment ID: I20230914002593 |
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