NPI 1063136745

Stephanie Harris, CPSS

Practitioner Peer Specialist Moselle, MS

Practice location

Address: 3 Clearview Cir, Moselle, MS 39459-9520
Phone: (601) 544-1499
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 0535 (MS)

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Registry record

NPI: 1063136745
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2022
Record last updated: 27 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.