Provider Demographics
NPI:1255861969
Name:WATKINS, DONNA MCLEMORE (LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MCLEMORE
Last Name:WATKINS
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 1:6721 KNOLLWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1663
Mailing Address - Country:US
Mailing Address - Phone:404-388-1401
Mailing Address - Fax:
Practice Address - Street 1:1111 BAKERS BRIDGE RD
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-5108
Practice Address - Country:US
Practice Address - Phone:770-947-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-14
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009510101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health