Provider Demographics
NPI:1215619994
Name:HARRIS, ARLETA (LCSW-I)
Entity type:Individual
Prefix:
First Name:ARLETA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1285
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:NV
Mailing Address - Zip Code:89403-1285
Mailing Address - Country:US
Mailing Address - Phone:775-741-6926
Mailing Address - Fax:
Practice Address - Street 1:1080 N MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-3850
Practice Address - Country:US
Practice Address - Phone:775-445-7350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-2143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health