Harrison, Audra Scott

Harrison, Audra Scott is an individual health care provider with primary practice located at 737B North Dr , Hopkinsville KY 42240-2620. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harrison, Audra Scott can be contacted via phone (270) 991-9551.

Contact Information

Primary practice address
737B North Dr Hopkinsville KY 42240-2620
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3629 Kentucky

Profile Details

NPI number 1285717470
LBN Legal business name Harrison, Audra Scott
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jun 17th, 2024 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285717470 NPPES
Kentucky MEDICAID 7100294760

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