Healthcare Provider Details

I. General information

NPI: 1104210707
Provider Name (Legal Business Name): ENJOLI MONIQUE HARPER LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WILBURN RD STE 108
SUN PRAIRIE WI
53590-1478
US

IV. Provider business mailing address

100 WILBURN RD STE 108
SUN PRAIRIE WI
53590-1478
US

V. Phone/Fax

Practice location:
  • Phone: 608-400-6740
  • Fax: 608-318-0064
Mailing address:
  • Phone: 608-400-6740
  • Fax: 608-318-0064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number15869-132
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9203-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: