Provider Demographics
NPI:1457687956
Name:BROOKS, DONNA MAGLIO (LCSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:MAGLIO
Last Name:BROOKS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:ANN
Other - Last Name:MAGLIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:14742 BEAVER RUN RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-3003
Mailing Address - Country:US
Mailing Address - Phone:936-449-0887
Mailing Address - Fax:
Practice Address - Street 1:33300 EGYPT LN STE A800
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2877
Practice Address - Country:US
Practice Address - Phone:936-449-0887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-19
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0087351041C0700X
VA09040072231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical