Provider Demographics
NPI:1114014123
Name:HENN, DONNA JEAN (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:JEAN
Last Name:HENN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 ADMIRAL DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-4469
Mailing Address - Country:US
Mailing Address - Phone:832-816-4441
Mailing Address - Fax:281-476-6424
Practice Address - Street 1:2601 ADMIRAL DR
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-4469
Practice Address - Country:US
Practice Address - Phone:832-816-4441
Practice Address - Fax:281-476-6424
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13564101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3123616OtherAETNA
TX229464OtherVALUE OPTIONS
TX121956003Medicaid
TX284189000OtherMAGELLAN HEALTH SERVICES