Provider Demographics
NPI:1841565736
Name:LENN HARRIS MILAM, LLC
Entity Type:Organization
Organization Name:LENN HARRIS MILAM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENN
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LCPT
Authorized Official - Phone:901-387-9943
Mailing Address - Street 1:1565 OVERTON PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-5136
Mailing Address - Country:US
Mailing Address - Phone:901-387-9943
Mailing Address - Fax:
Practice Address - Street 1:1565 OVERTON PARK AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38112-5136
Practice Address - Country:US
Practice Address - Phone:901-387-9943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0646251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health