Provider Demographics
NPI:1477818953
Name:FORD, DONALD ALAN (LMHC)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALAN
Last Name:FORD
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3154 RAWCLIFFE RD
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34714-6169
Mailing Address - Country:US
Mailing Address - Phone:941-677-8350
Mailing Address - Fax:
Practice Address - Street 1:1304 S DE SOTO AVE STE 306
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-7105
Practice Address - Country:US
Practice Address - Phone:941-677-8350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health