Provider Demographics
NPI:1326561317
Name:CHRISTOPHER-HARRIS, MICHELLE (LCSW, PHD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CHRISTOPHER-HARRIS
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 MIDDLEFORD RD STE 303
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3648
Mailing Address - Country:US
Mailing Address - Phone:443-365-5115
Mailing Address - Fax:888-612-9797
Practice Address - Street 1:1330 MIDDLEFORD RD STE 303
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3648
Practice Address - Country:US
Practice Address - Phone:443-365-5115
Practice Address - Fax:302-536-7498
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00015561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical