Provider Demographics
NPI:1184945909
Name:JJ HARRIS & ASSOCIATES
Entity type:Organization
Organization Name:JJ HARRIS & ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:702-719-9773
Mailing Address - Street 1:1100 MERIDIAN BAY DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-1625
Mailing Address - Country:US
Mailing Address - Phone:702-719-9773
Mailing Address - Fax:702-897-2984
Practice Address - Street 1:1100 MERIDIAN BAY DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1625
Practice Address - Country:US
Practice Address - Phone:702-719-9773
Practice Address - Fax:702-897-2984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5139-S104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty