Provider Demographics
NPI:1366483752
Name:CHIMATO, DONNA LYNNE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNNE
Last Name:CHIMATO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9349 TYRELLA PINE TRL
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-0047
Mailing Address - Country:US
Mailing Address - Phone:941-391-1162
Mailing Address - Fax:
Practice Address - Street 1:9349 TYRELLA PINE TRL
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-0047
Practice Address - Country:US
Practice Address - Phone:941-200-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6459101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health