Provider Demographics
NPI:1831840164
Name:HARRIS, TASHARIA JANAY (MDIV)
Entity type:Individual
Prefix:MISS
First Name:TASHARIA
Middle Name:JANAY
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 MENDEL PKWY E
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-5414
Mailing Address - Country:US
Mailing Address - Phone:334-328-6740
Mailing Address - Fax:
Practice Address - Street 1:230 MENDEL PKWY E
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-5414
Practice Address - Country:US
Practice Address - Phone:334-328-6740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral