Most Relevant Information
Provider Data
NPI Number: | 1003405515 |
Provider Name: | LANA HARRIS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 01/11/2021 |
Last Updated: | 01/11/2021 |
Provider Practice Location
215 BRADLEY ST
CARROLLTON
GA
301173217
Practice Location Phone/Fax
Phone: | 7708534102 |
Fax: | 7708323046 |
Provider Mailing Location
215 BRADLEY ST
CARROLLTON
GA
301173217
Provider Mailing Phone/Fax
Phone: | 7708534102 |
Fax: | 7708323046 |