Provider Demographics
NPI:1932722329
Name:HARRIS, ANDREW P
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:P
Last Name:HARRIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 OAKLAND ST STE 150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-2797
Mailing Address - Country:US
Mailing Address - Phone:720-231-9178
Mailing Address - Fax:
Practice Address - Street 1:4700 OAKLAND ST STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-2797
Practice Address - Country:US
Practice Address - Phone:720-231-9178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty