| Harris Counseling And Support Services | |
|
6482 Clearbrook Dr Saint Helen MI 48656-9547 | |
| (989) 372-4346 | |
| (989) 632-3063 |
| Full Name | Harris Counseling And Support Services |
|---|---|
| Speciality | Social Worker |
| Location | 6482 Clearbrook Dr, Saint Helen, Michigan |
| Authorized Official Name and Position | Holly Jean Harris (DIRECTOR/OWNER) |
| Authorized Official Contact | 9893724346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Counseling And Support Services Po Box 71 Saint Helen MI 48656-0071 Ph: (989) 372-4346 | Harris Counseling And Support Services 6482 Clearbrook Dr Saint Helen MI 48656-9547 Ph: (989) 372-4346 |
| NPI Number | 1780289710 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 03/16/2025 |
| Certification Date | 03/16/2025 |
| Medicare PECOS PAC ID | 6406383660 |
|---|---|
| Medicare Enrollment ID | O20241230001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780289710 | NPI | - | NPPES |
| 1427113778 | Medicaid | MI | |
| MI9569 | Other | MI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Holly Jean Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427113778 PECOS PAC ID: 4880725464 Enrollment ID: I20100625000310 |
Life Cycle Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Hound Dog Trl, Saint Helen, MI 48656 Phone: 989-307-0205 Fax: 989-632-3325 |