Provider Demographics
NPI:1437518321
Name:HARNESS, SAVANNAH (LPC)
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:
Last Name:HARNESS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:
Other - Last Name:SAUNDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14650 COUNTY ROAD 8450
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401
Mailing Address - Country:US
Mailing Address - Phone:573-261-1807
Mailing Address - Fax:
Practice Address - Street 1:14650 COUNTY ROAD 8450
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401
Practice Address - Country:US
Practice Address - Phone:573-261-1807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016004599101YM0800X
VA0701011393101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health