DR. CHARLIE L HARRIS PHD
NPI 1205919123
Psychologist in Tyrone, GA

Active since October 23, 2006
120 MILLBROOK VILLAGE DR STE B203, TYRONE, GA 30290(770) 727-6110(800) 749-1966 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charlie L Harris Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLIE L HARRIS PHD (NPI 1205919123) is an individual psychologist in Tyrone, Georgia, licensed in Georgia (002080) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1205919123
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CHARLIE L HARRISCredential: PHD
Location Address120 MILLBROOK VILLAGE DR STE B203Tyrone, GA 30290-3605
Mailing Address5877 Village LoopFairburn, GA 30213-4636 · (404) 277-0604 · Fax (404) 277-0604
Fax(800) 749-1966
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 8, 2020
NPI 1205919123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 002080
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
120 MILLBROOK VILLAGE DR STE B203, Tyrone, GA 30290

Other Names 1

Former Name (1)Dr. Charlie M Lollis Phd

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlie Harris's NPI number?

The NPI number for Charlie Harris is 1205919123. It was assigned to this individual provider in the NPPES registry on October 23, 2006. The provider is also known as Dr. Charlie M Lollis Phd.

Where is Charlie Harris located?

Charlie Harris practices at 120 Millbrook Village Dr Ste B203, Tyrone, GA 30290. The listed phone number is (770) 727-6110.

What is Charlie Harris's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Charlie Harris was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.