Willie Harris, is a
Counselor - Mental Health based in Tallahassee, Florida. Willie Harris is licensed to practice in Florida (license number MH18677) and her current practice location is
2905 Pontiac Dr, Tallahassee, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 405-0249.
NPI number for Willie Harris is 1972186435 and her current mailing address is 2905 Pontiac Dr, Tallahassee, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972186435.
Provider's Profile
Full Name | Willie Harris |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 2905 Pontiac Dr, Tallahassee, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972186435
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 05/03/2021
Medical Identifiers
Medical identifiers for Willie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972186435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN9327337 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH18677 (Florida) | 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. Willie Harris 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 |
Willie Harris, 2905 Pontiac Dr, Tallahassee, FL 32301-7045 Ph: (832) 314-5732 | Willie Harris, 2905 Pontiac Dr, Tallahassee, FL 32301-7045 Ph: (850) 405-0249 |
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