Provider Demographics
NPI:1871105643
Name:SION, HARLIS
Entity type:Individual
Prefix:
First Name:HARLIS
Middle Name:
Last Name:SION
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 RICHARD ST
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-2369
Mailing Address - Country:US
Mailing Address - Phone:337-332-1810
Mailing Address - Fax:337-332-3300
Practice Address - Street 1:275 RED CLAY RD APT 303
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2369
Practice Address - Country:US
Practice Address - Phone:202-790-8903
Practice Address - Fax:301-889-9735
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator