Provider Demographics
NPI:1225165145
Name:LEGENDRE, DONNA KAY (EDD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:KAY
Last Name:LEGENDRE
Suffix:
Gender:F
Credentials:EDD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 HIGHWAY 308
Mailing Address - Street 2:
Mailing Address - City:LABADIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70372-2200
Mailing Address - Country:US
Mailing Address - Phone:985-526-1699
Mailing Address - Fax:985-526-6796
Practice Address - Street 1:2632 HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:LABADIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70372-2045
Practice Address - Country:US
Practice Address - Phone:985-526-1699
Practice Address - Fax:985-526-6796
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health