Provider Demographics
NPI:1467994392
Name:HARRIS BEHAVIORAL & EDUCATIONAL CONSULTING SERVICES
Entity Type:Organization
Organization Name:HARRIS BEHAVIORAL & EDUCATIONAL CONSULTING SERVICES
Other - Org Name:PATTIE RUTH HARRIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-353-6371
Mailing Address - Street 1:1800 JUDSON RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4708
Mailing Address - Country:US
Mailing Address - Phone:903-212-3153
Mailing Address - Fax:
Practice Address - Street 1:1800 JUDSON RD
Practice Address - Street 2:STE. 100
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4708
Practice Address - Country:US
Practice Address - Phone:903-212-3153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS088431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1487920419OtherNPI
TX1457442816OtherNPI