Provider Demographics
NPI:1215411129
Name:SELLERS, DONNA MICHELE (LCSW, LCAS, CCS-I)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MICHELE
Last Name:SELLERS
Suffix:
Gender:F
Credentials:LCSW, LCAS, CCS-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 5TH AVE E
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4377
Mailing Address - Country:US
Mailing Address - Phone:828-692-4289
Mailing Address - Fax:828-696-1794
Practice Address - Street 1:709 N JUSTICE ST STE B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3455
Practice Address - Country:US
Practice Address - Phone:828-696-1234
Practice Address - Fax:828-696-1257
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22557101YA0400X
NCLCAS-24881101YA0400X
NCP0129191041C0700X
NCC0135381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)