Individual ProviderAutumn HarrisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5310 E 31st St Ste 400, Tulsa, OK 74135-5018(918) 600-3100PECOS EnrollmentBased on the most recent information from CMS, provider Autumn 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 12:02 PM.Profile DetailsProvider ID1548832173Provider TypeIndividualFull NameHarris, AutumnGenderFemaleSole ProprietorNoEnumeration Date7/13/2021Last Updated7/13/2021Contact InformationPractice LocationPractice Address5310 E 31st St Ste 400, Tulsa, OK 74135-5018Phone(918) 600-3100FaxUnlisted FaxMailing LocationMailing Address8312 S Lakewood Pl, Tulsa, OK 74137-2107PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer