Provider Demographics
NPI:1699277061
Name:HARRIS, SAHEEDAH MARIYAM (LCSW)
Entity type:Individual
Prefix:
First Name:SAHEEDAH
Middle Name:MARIYAM
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8420 SPECTRUM DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5864
Mailing Address - Country:US
Mailing Address - Phone:616-481-6041
Mailing Address - Fax:
Practice Address - Street 1:8420 SPECTRUM DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5864
Practice Address - Country:US
Practice Address - Phone:940-441-3866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-01
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
63946101Y00000X
TX63946101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor