Harris, Madalyne Suzanne
Harris, Madalyne Suzanne is an individual health care provider with primary practice located at 100 W Main St Ste 207 , Salisbury MD 21801-4876. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Harris, Madalyne Suzanne can be contacted via phone (443) 783-8740.Contact Information
Primary practice address
100 W Main St Ste 207
Salisbury MD 21801-4876
Phone: (443) 783-8740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LGP9996 | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC13021 | Maryland |
Profile Details
| NPI number | 1447886205 |
|---|---|
| LBN Legal business name | Harris, Madalyne Suzanne |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 12th, 2020 |
| Last updated | Jun 16th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447886205 | NPPES |
| Maryland | MEDICAID | 119591300 |
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