| Harris Foundation | |
|
3444 Cumberland Falls Hwy Ste B Corbin KY 40701-9057 | |
| (606) 595-3218 | |
| Not Available |
| Full Name | Harris Foundation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3444 Cumberland Falls Hwy Ste B, Corbin, Kentucky |
| Authorized Official Name and Position | Jim Harris (OWNER) |
| Authorized Official Contact | 6065953218 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Foundation 3444 Cumberland Falls Hwy Corbin KY 40701-9056 Ph: (606) 492-9702 | Harris Foundation 3444 Cumberland Falls Hwy Ste B Corbin KY 40701-9057 Ph: (606) 595-3218 |
| NPI Number | 1619717402 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619717402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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