Provider Demographics
NPI:1225289481
Name:SWISHER, DONNA (MED,LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:SWISHER
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3818 A BAYOU RAPIDES
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3655
Mailing Address - Country:US
Mailing Address - Phone:318-445-8571
Mailing Address - Fax:318-449-8506
Practice Address - Street 1:3818 A BAYOU RAPIDES
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3655
Practice Address - Country:US
Practice Address - Phone:318-445-8571
Practice Address - Fax:318-449-8506
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3568101YA0400X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health