Wellformed AI

NPI 1740137017 · live from the CMS NPI Registry

Behavioral Health Connections

Psychologist, Clinical in Edgewood, MD. National Provider Identifier 1740137017, active.

NPI record

NPI1740137017 Type 2 · organization
StatusActive
Primary specialtyPsychologist, Clinical 103TC0700X
Practice location2113 Emmorton Park Rd Ste 101, Edgewood, MD 21040
Practice phone443-409-3002
EnumeratedMarch 14, 2026
Last updatedJuly 14, 2026
Authorized officialDonica Harper, Managing Partner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X—
Counselor, Professional101YP2500X—
Psychologist, Clinical primary103TC0700X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Psychiatry & Neurology, Psychiatry2084P0800X—
Psychiatry & Neurology, Child & Adolescent Psychiatry2084P0804X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.