Provider Demographics
NPI:1417773359
Name:HARRINGTON, AYESHA DEKITA
Entity type:Individual
Prefix:MRS
First Name:AYESHA
Middle Name:DEKITA
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 BROAD ST STE 1101
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-1902
Mailing Address - Country:US
Mailing Address - Phone:803-805-4426
Mailing Address - Fax:
Practice Address - Street 1:26 WESMARK CT
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1996
Practice Address - Country:US
Practice Address - Phone:803-883-4981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist