PATRICIA HARRISON MD P L NPI 1184874224

NPI Information

NPI: 1184874224
Provider Name: PATRICIA HARRISON MD P L
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 1025 N. BEAL PKWY
SUITE B-1
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 862-4960

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NPI Details

PATRICIA HARRISON MD P L is an adult mental health clinic center in Fort Walton Beach, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PATRICIA HARRISON MD P L NPI is 1184874224. The provider is registered as an organization entity type.

The provider's business location address is:

1025 N. BEAL PKWY
SUITE B-1
FORT WALTON BEACH, FL
ZIP 32547-481
Phone: (850) 862-4960
Fax: (850) 862-4529

The provider's authorized official is Patricia Harrison .
The authorized official title is President/owner and has the following contact phone number (850) 862-4960.

The enumeration date for this NPI number is 9/25/2008 and was last updated on 10/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	ME71795	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DO896A	MEDICARE PIN	FLORIDA
2	253694300	MEDICAID	FLORIDA
3	43326	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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