Provider Demographics
NPI:1932942190
Name:HARPER, KATASHA LARONDA
Entity type:Individual
Prefix:
First Name:KATASHA
Middle Name:LARONDA
Last Name:HARPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 LONG CANE LN
Mailing Address - Street 2:
Mailing Address - City:PELZER
Mailing Address - State:SC
Mailing Address - Zip Code:29669-9338
Mailing Address - Country:US
Mailing Address - Phone:864-906-3339
Mailing Address - Fax:
Practice Address - Street 1:179 LONG CANE LN
Practice Address - Street 2:
Practice Address - City:PELZER
Practice Address - State:SC
Practice Address - Zip Code:29669-9338
Practice Address - Country:US
Practice Address - Phone:864-906-3339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC166721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical