Provider Demographics
NPI:1932421633
Name:HARRIS, MONICA WILLIAMS (MED, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:WILLIAMS
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4160 CREEKVIEW CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-7838
Mailing Address - Country:US
Mailing Address - Phone:251-227-3575
Mailing Address - Fax:
Practice Address - Street 1:923 STAGE RD
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5109
Practice Address - Country:US
Practice Address - Phone:251-227-3575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL90462101Y00000X
ALC1629A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional