Individual ProviderLisa M HarrisCounselorBehavioral Health & Social Service ProvidersPractice Address38 Winthrop Pl, Staten Island, NY 10314-3043(718) 816-6760PECOS EnrollmentBased on the most recent information from CMS, provider Lisa M Harris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1083415194Provider TypeIndividualFull NameHarris, Lisa MCredentialMHC-LPGenderFemaleSole ProprietorYesEnumeration Date3/24/2025Last Updated3/24/2025Contact InformationPractice LocationPractice Address38 Winthrop Pl, Staten Island, NY 10314-3043Phone(718) 816-6760Fax(718) 667-3260Mailing LocationMailing Address38 Winthrop Pl, Staten Island, NY 10314-3043Phone(718) 816-6760Fax(718) 667-3260Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP132050New York