Healthcare Provider Details

I. General information

NPI: 1629533286
Provider Name (Legal Business Name): DONICA HARPER MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2113 EMMORTON PARK RD STE 101
EDGEWOOD MD
21040-1065
US

IV. Provider business mailing address

2223 GREENCEDAR DR
BEL AIR MD
21015-6383
US

V. Phone/Fax

Practice location:
  • Phone: 443-409-3002
  • Fax: 443-819-1321
Mailing address:
  • Phone: 443-409-3002
  • Fax: 443-819-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP9033
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC9329
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: