Provider Demographics
NPI:1417016262
Name:DARLING, DONNA NASSOIY (LMFT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:NASSOIY
Last Name:DARLING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 122
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:NY
Mailing Address - Zip Code:13142-0122
Mailing Address - Country:US
Mailing Address - Phone:315-396-7169
Mailing Address - Fax:
Practice Address - Street 1:4 HUBBLE ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:NY
Practice Address - Zip Code:13142-4101
Practice Address - Country:US
Practice Address - Phone:315-298-5402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000131106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1226OtherTOTAL CARE PROVIDER ID