Provider Demographics
NPI:1235669888
Name:MCDANIEL, DONNA COLLINS (LPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:COLLINS
Last Name:MCDANIEL
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 1:9 TEAL CT
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-3276
Mailing Address - Country:US
Mailing Address - Phone:803-514-3686
Mailing Address - Fax:
Practice Address - Street 1:3711 EXECUTIVE CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-0953
Practice Address - Country:US
Practice Address - Phone:706-868-5011
Practice Address - Fax:706-868-5023
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA009576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional