Provider Demographics
NPI:1902886708
Name:HARRIS, LARHONDA LOLEANETRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LARHONDA
Middle Name:LOLEANETRA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LARHONDA
Other - Middle Name:LOLEANETRA
Other - Last Name:LUCAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2817 REILLY RD MCXC COD CREDENTIALS
Mailing Address - Street 2:WOMACK ARMY MEDICAL CENTER
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:2817 REILLY RD
Practice Address - Street 2:MCXC-DPC-MHO
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7301
Practice Address - Country:US
Practice Address - Phone:910-907-7713
Practice Address - Fax:910-907-8306
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0047611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical