Provider Demographics
NPI:1578772067
Name:HARRIS, MAY RUTH (MSW,LLMSW,CAC-I)
Entity Type:Individual
Prefix:MRS
First Name:MAY
Middle Name:RUTH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSW,LLMSW,CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 PINGREE ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-1961
Mailing Address - Country:US
Mailing Address - Phone:313-875-9076
Mailing Address - Fax:
Practice Address - Street 1:902 PINGREE ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-1961
Practice Address - Country:US
Practice Address - Phone:313-875-9076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)