Female

Ms. Teaonna D. Harris CCHW, PBT

Full Name

Ms. Teaonna D Harris CCHW, PBT

NPI Number

1053142414

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/08/2024

Specialties

(Taxonomies)

Code

221700000X
171W00000X
172A00000X
171400000X
174H00000X
225A00000X
146D00000X
246RP1900X
156F00000X

Primary Taxonomy

No
No
No
No
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

801 SHELBY ST # 513
801 SHELBY ST # 513

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46203-1163
46203-1163

Country

US
US

Telephone Number

(877) 355-0305
(877) 355-0305

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/08/2024

Provider Address