Healthcare Provider Details

I. General information

NPI: 1639745128
Provider Name (Legal Business Name): BEHAVIORAL HEALTH PATHWAYS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9199 REISTERSTOWN RD
OWINGS MILLS MD
21117-4520
US

IV. Provider business mailing address

3614 LAGUNA CT
RANDALLSTOWN MD
21133-2519
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DONICA HARPER
Title or Position: OWNER
Credential: PHD
Phone: 443-409-3002