Lashanda Evette Harris | Tacoma, WA • PECOS Search

Lashanda Evette Harris

Counselor

Behavioral Health & Social Service Providers

3834 S 19th St, Tacoma, WA 98405-2016

(253) 396-5904 (253) 921-8344

PECOS Enrollment

Based on the most recent information from CMS, provider Lashanda Evette 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 4 days ago.

Profile Details

Provider ID
1174703813
Provider Type
Individual
Full Name
Harris, Lashanda Evette
Title
Ms.
Credential
M.A.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/9/2007
Last Updated
11/9/2007

Contact Information

Practice Location

3834 S 19th St, Tacoma, WA 98405-2016

(253) 759-0977

Mailing Location

6611 S Mullen St, Tacoma, WA 98409-1135

Unlisted Fax

Provider Taxonomies

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