Provider Demographics
NPI:1225281348
Name:DAVIS, DONNA BROWN (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:BROWN
Last Name:DAVIS
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 1:3803 BOULDER DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75233-3114
Mailing Address - Country:US
Mailing Address - Phone:682-472-2651
Mailing Address - Fax:
Practice Address - Street 1:3803 BOULDER DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75233-3114
Practice Address - Country:US
Practice Address - Phone:972-502-4023
Practice Address - Fax:214-467-9529
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63514101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional