# HARVEST AUTISM & BEHAVIORAL HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740133503
- **Authorized official:** SHANNON WILLIS (MANAGER)
- **Authorized official phone:** (601) 441-4307

## Contact information

- **Practice address:** 338 RAYNES RD, CARSON, MS 39427-6366
- **Practice address phone:** (601) 441-4307
- **Practice address fax:** (601) 441-4307
- **Mailing address:** 338 RAYNES RD, CARSON, MS 39427-6366
- **Mailing address phone:** (601) 441-4307
- **Mailing address fax:** (601) 441-4307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | — | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/19/2026
- **Last updated:** 09/17/2026