Provider Demographics
NPI:1558802215
Name:TRI-SIGHT COUNSELING SERVICES
Entity Type:Organization
Organization Name:TRI-SIGHT COUNSELING SERVICES
Other - Org Name:LORITA HARRIS DBA TRI-SIGHT COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORITA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC-S
Authorized Official - Phone:662-719-1202
Mailing Address - Street 1:1268 MEMORIAL DR.
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-9545
Mailing Address - Country:US
Mailing Address - Phone:662-719-1202
Mailing Address - Fax:662-590-7605
Practice Address - Street 1:214 ELM AVENUE
Practice Address - Street 2:
Practice Address - City:MOUND BAYOU
Practice Address - State:MS
Practice Address - Zip Code:38762-5502
Practice Address - Country:US
Practice Address - Phone:662-404-8840
Practice Address - Fax:662-590-7605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1159101Y00000X, 101YM0800X, 101YP2500X
MS166276101YS0200X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty