Provider Demographics
NPI:1003939760
Name:DONAGHY, MELISSA P (LCMFT)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:P
Last Name:DONAGHY
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 ROSEHILL RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66216-1490
Mailing Address - Country:US
Mailing Address - Phone:913-231-4575
Mailing Address - Fax:
Practice Address - Street 1:5110 ROSEHILL RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-1490
Practice Address - Country:US
Practice Address - Phone:913-231-4575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS697106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist