Provider Demographics
NPI:1750507976
Name:HARRIS, CHRISTINE TUZZO (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:TUZZO
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-9578
Mailing Address - Country:US
Mailing Address - Phone:407-399-8855
Mailing Address - Fax:321-248-0120
Practice Address - Street 1:600 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-9578
Practice Address - Country:US
Practice Address - Phone:407-399-8855
Practice Address - Fax:321-248-0120
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW55091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL762109400Medicaid
FL000341400OtherGROUP MEDICAID PROVIDER NUMBER
FL1821254368OtherFACILITY NPI PROVIDER NUMBER