Provider Demographics
NPI:1154863041
Name:DORSEY, DONNA DENEEN (CMI WELLNESS COACH)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:DENEEN
Last Name:DORSEY
Suffix:
Gender:F
Credentials:CMI WELLNESS COACH
Other - Prefix:MS
Other - First Name:DONNA
Other - Middle Name:DENEEN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CMI
Mailing Address - Street 1:7010 S YALE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-5713
Mailing Address - Country:US
Mailing Address - Phone:918-492-2554
Mailing Address - Fax:
Practice Address - Street 1:7010 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-5713
Practice Address - Country:US
Practice Address - Phone:918-492-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-09
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical