Elesha Renee Harris, LCSW
Social Worker, Clinical in Homerville, GA. Individual provider (NPI-1).
NPI number1063372001
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1063372001
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Elesha Renee Harris
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2025
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW006350 | GA | Yes |
Practice location
945 Woodlake DrHomerville, GA 31634-1930
Phone 912-487-6199
Mailing address
945 Woodlake DrHomerville, GA 31634-1930
Phone 912-487-6199
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