Provider Demographics
NPI:1346422920
Name:HUMBERT, DONNA L (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:HUMBERT
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:L
Other - Last Name:SCHEPERS HUMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED CLINICAL SO
Mailing Address - Street 1:301 S PERIMETER PARK DR STE 210
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4128
Mailing Address - Country:US
Mailing Address - Phone:615-726-3603
Mailing Address - Fax:615-827-0421
Practice Address - Street 1:145 THOMPSON LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2411
Practice Address - Country:US
Practice Address - Phone:615-781-0013
Practice Address - Fax:615-781-0688
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW000000032441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical