Provider Demographics
NPI:1083581474
Name:HARRIS, ALESHA STONE
Entity type:Individual
Prefix:
First Name:ALESHA
Middle Name:STONE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 WOODLAWN HTS
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-5549
Mailing Address - Country:US
Mailing Address - Phone:434-247-2240
Mailing Address - Fax:
Practice Address - Street 1:204 WOODLAWN HTS
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-5549
Practice Address - Country:US
Practice Address - Phone:434-247-2240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT60299936172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty