Provider Demographics
NPI:1265443725
Name:COWART, DONNA KAY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:KAY
Last Name:COWART
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 1:720 ELM ST
Mailing Address - Street 2:N/A
Mailing Address - City:TEAGUE
Mailing Address - State:TX
Mailing Address - Zip Code:75860-1818
Mailing Address - Country:US
Mailing Address - Phone:254-739-2164
Mailing Address - Fax:
Practice Address - Street 1:720 ELM ST
Practice Address - Street 2:N/A
Practice Address - City:TEAGUE
Practice Address - State:TX
Practice Address - Zip Code:75860-1818
Practice Address - Country:US
Practice Address - Phone:254-739-2164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional