Provider Demographics
NPI:1407861099
Name:COY, DONNA MAY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:MAY
Last Name:COY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 WULFF LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-5720
Mailing Address - Country:US
Mailing Address - Phone:916-489-7233
Mailing Address - Fax:
Practice Address - Street 1:2436 WULFF LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-5720
Practice Address - Country:US
Practice Address - Phone:916-489-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12233 LCS101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health