Provider Demographics
NPI:1558824144
Name:DONOVAN, SARAH SLOANE (LCPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SLOANE
Last Name:DONOVAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 N POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-1338
Mailing Address - Country:US
Mailing Address - Phone:410-935-9107
Mailing Address - Fax:
Practice Address - Street 1:1447 YORK RD STE 701
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6089
Practice Address - Country:US
Practice Address - Phone:410-298-8489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4704101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health