Leahtrice Harris | Atco, NJ • PECOS Search

Leahtrice Harris

Counselor

Behavioral Health & Social Service Providers

2135 Tremont Ave, Atco, NJ 08004-1441

(856) 767-4207 (609) 267-5928

PECOS Enrollment

Based on the most recent information from CMS, provider Leahtrice Harris does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1043619307
Provider Type
Individual
Full Name
Harris, Leahtrice
Gender
Female

Sole Proprietor
No
Enumeration Date
8/21/2014
Last Updated
8/21/2014

Contact Information

Practice Location

2135 Tremont Ave, Atco, NJ 08004-1441

Unlisted Fax

Mailing Location

770 Woodlane Rd, Westampton, NJ 08060-3804

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer