Healthcare Provider Details

I. General information

NPI: 1841153616
Provider Name (Legal Business Name): FARRAH YASPE LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E REDWOOD ST STE 901G
BALTIMORE MD
21202-3788
US

IV. Provider business mailing address

2 ECOWAY CT APT 3C
TOWSON MD
21286-4437
US

V. Phone/Fax

Practice location:
  • Phone: 240-875-0111
  • Fax:
Mailing address:
  • Phone: 240-875-0111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP17190
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: