Provider Demographics
NPI:1235449844
Name:HARRIS, SARAH K (CNS)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:K
Last Name:HARRIS
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2933 JUDYLYN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6005
Mailing Address - Country:US
Mailing Address - Phone:404-292-4405
Mailing Address - Fax:
Practice Address - Street 1:2540 WINDY HILL ROAD
Practice Address - Street 2:WELLSTAR PSYCHIATRY, LLC
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067
Practice Address - Country:US
Practice Address - Phone:770-644-1570
Practice Address - Fax:770-644-1576
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN167607364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health