Provider Demographics
NPI:1215737721
Name:HARVEST HEALTHCARE CONSULTANTS LLC
Entity type:Organization
Organization Name:HARVEST HEALTHCARE CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCDONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-984-7155
Mailing Address - Street 1:5219 MONTICELLO AVE UNIT 5325
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-0612
Mailing Address - Country:US
Mailing Address - Phone:757-448-7971
Mailing Address - Fax:
Practice Address - Street 1:5219 MONTICELLO AVE UNIT 5325
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-0612
Practice Address - Country:US
Practice Address - Phone:757-448-7971
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty