MR. RANDALL JUSTIN HARRIS MHPP
NPI 1386906105
Counselor - Mental Health in Little Rock, AR
Active since June 08, 2012
About Mr. Randall Justin Harris Mhpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDALL JUSTIN HARRIS MHPP (NPI 1386906105) is an individual mental health provider in Little Rock, Arkansas and active in the NPI registry since June 2012.
NPPES Registry Identity
NPI1386906105
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RANDALL JUSTIN HARRISCredential: MHPP
Location Address20400 COL GLENN RDLittle Rock, AR 72210-5323
Mailing Address20400 Col Glenn RdLittle Rock, AR 72210-5323 · (501) 821-5500
Phone(501) 821-5500
Sole ProprietorNo
Enumeration DateJune 8, 2012
✔ NPI 1386906105 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
20400 COL GLENN RD, Little Rock, AR 72210
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386906105, enumerated as an "individual" on June 08, 2012.
The provider is located at 20400 COL GLENN RD LITTLE ROCK, AR 72210 and the phone number is (501) 821-5500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.