MR. MARK DAVID DONOVAN LCPC LCADC NPI 1912909730

NPI Information

NPI: 1912909730
Provider Name: MR. MARK DAVID DONOVAN, LCPC, LCADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA, MD
ZIP 21044
Phone: (410) 740-8066
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MR. Mark David Donovan, LCPC, LCADC is a professional counselor in Columbia, MD. MR. Mark David Donovan, LCPC, LCADC NPI is 1912909730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10630 LITTLE PATUXENT PKWY STE 209
COLUMBIA, MD
ZIP 21044-278
Phone: (410) 740-8066
Fax: (410) 740-8068

The NPI 1912909730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 2/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCA414	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	LC0912	MARYLAND	No
3	101YP2500X	Counselor	Professional	LC0912	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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