Provider Demographics
NPI:1295888071
Name:HARRISON, ELNORA AUSTIN (LMHC)
Entity type:Individual
Prefix:
First Name:ELNORA
Middle Name:AUSTIN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129-133 W 147TH ST
Mailing Address - Street 2:APT. 26-J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-4303
Mailing Address - Country:US
Mailing Address - Phone:212-690-2965
Mailing Address - Fax:212-690-2965
Practice Address - Street 1:129-133 W 147TH ST
Practice Address - Street 2:APT. 26-J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-4303
Practice Address - Country:US
Practice Address - Phone:212-690-2965
Practice Address - Fax:212-690-2965
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003811101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health