Provider Demographics
NPI:1073095311
Name:HARPER, LAURA K (LPCMH)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:K
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:K
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPCMH
Mailing Address - Street 1:900 HEALTH SERVICES DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5786
Mailing Address - Country:US
Mailing Address - Phone:302-262-3505
Mailing Address - Fax:302-262-3507
Practice Address - Street 1:900 HEALTH SERVICES DR
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5786
Practice Address - Country:US
Practice Address - Phone:302-262-3505
Practice Address - Fax:302-262-3507
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000593172Medicaid