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Individual

MYRESHA LASHAY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12735 GRAN PKWY W, JACKSONVILLE, FL 32258
(888) 754-0398
Mailing address
12735 GRAN PKWY W, JACKSONVILLE, FL 32258
(888) 754-0398

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
FL
106S00000X
Behavior Technician
Primary
FL
171M00000X
Case Manager/Care Coordinator
Primary
FL
373H00000X
Day Training/Habilitation Specialist
FL

Other

Enumeration date
09/25/2025
Last updated
02/10/2026
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