Provider Demographics
NPI:1114939519
Name:CHAMBLEE, DONNA K (LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:K
Last Name:CHAMBLEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 FAIRMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2805
Mailing Address - Country:US
Mailing Address - Phone:713-943-2267
Mailing Address - Fax:713-943-8685
Practice Address - Street 1:825 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2805
Practice Address - Country:US
Practice Address - Phone:713-943-2267
Practice Address - Fax:713-943-8685
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional