| Elizabeth Blair Harison, LMFT | |
|
1202 Town Park Ln Ste 300, Evans, GA 30809-3477 | |
| (706) 210-8855 | |
| Not Available |
| Full Name | Elizabeth Blair Harison |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1202 Town Park Ln Ste 300, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558012377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT002187 (Georgia) | Primary |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Blair Harison, LMFT 52 Chigoe Ln, Appling, GA 30802-3838 Ph: (706) 830-5444 | Elizabeth Blair Harison, LMFT 1202 Town Park Ln Ste 300, Evans, GA 30809-3477 Ph: (706) 210-8855 |
Jennifer Moore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 864-398-9418 | |
Stephanie Lynn Steed, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 601 N Belair Sq Ste 2, Evans, GA 30809 Phone: 706-373-1680 | |
Mrs. Monique Rendles, M.A., LMFT-S Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 670 Whitney Shoals Rd, Evans, GA 30809 Phone: 910-356-9213 Fax: 888-356-4522 |