Provider Demographics
NPI:1417151507
Name:HARRIS, JAMES FRANKLIN (LICSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:HARRIS
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 LITTLE SOLIDA RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH POINT
Mailing Address - State:OH
Mailing Address - Zip Code:45680-9375
Mailing Address - Country:US
Mailing Address - Phone:304-638-2435
Mailing Address - Fax:304-733-3334
Practice Address - Street 1:689 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1315
Practice Address - Country:US
Practice Address - Phone:304-733-3331
Practice Address - Fax:304-733-3334
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009426461041C0700X
OHI-00299431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical