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JENNIFER L HARRIS BA PSYCHOLOGY
NPI 1831873330
Clinic/Center - Federally Qualified Health Center (FQHC) in Myrtle Beach, SC

Active since June 14, 2023
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579(828) 291-4460 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer L Harris Ba Psychology NPPES

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

JENNIFER L HARRIS BA PSYCHOLOGY (NPI 1831873330) is an individual federally qualified health center (fqhc) provider in Myrtle Beach, South Carolina and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1831873330
Entity TypeIndividualFemale
Primary Taxonomy261QF0400X
Provider Legal NameJENNIFER L HARRISCredential: BA PSYCHOLOGY
Location Address104 GEORGE BISHOP PKWYMyrtle Beach, SC 29579-7335
Mailing Address12 Lakeside AveGranite Falls, NC 28630-1723 · (828) 291-4460
Phone(828) 291-4460
Sole ProprietorYes
Enumeration DateJune 14, 2023
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1831873330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
104 GEORGE BISHOP PKWY, Myrtle Beach, SC 29579
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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.

MIA MONIQUE FLOYD RPHT
Pharmacy Technician
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (800) 805-6989
LADAYSHA BONAPARTE
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (800) 805-6989
PETER ZAWASKI CAC II
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
SUSAN GRUBBS LPN
Licensed Practical Nurse
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
SEAN PATRICK HATFIELD
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
LOREN ORLANDO SEDA MS, CAC-P
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 903-6212
MRS. ELIZABETH ANNE NUTTING ME.D, ADC-IP
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (843) 492-2268
CAITLYN OLIVIA BAKER
Counselor (Addiction (Substance Use Disorder))
104 GEORGE BISHOP PKWY
MYRTLE BEACH, SC 29579
Horry County (518) 469-9241

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 Jennifer Harris's NPI number?

The NPI number for Jennifer Harris is 1831873330. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Jennifer Harris located?

Jennifer Harris practices at 104 George Bishop Pkwy, Myrtle Beach, SC 29579. The listed phone number is (828) 291-4460.

What is Jennifer Harris's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Jennifer Harris was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.