Healthcare Provider Details

I. General information

NPI: 1811851777
Provider Name (Legal Business Name): ELLA JASMINE HARRER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20273 ROUTE 19
CRANBERRY TOWNSHIP PA
16066-6120
US

IV. Provider business mailing address

12 DONIPORT RD
BADEN PA
15005-2611
US

V. Phone/Fax

Practice location:
  • Phone: 724-987-2993
  • Fax:
Mailing address:
  • Phone: 724-434-0469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: