Provider Demographics
NPI:1518423979
Name:DONLEY, LILA JEANETTE (LPC)
Entity Type:Individual
Prefix:
First Name:LILA
Middle Name:JEANETTE
Last Name:DONLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LILA
Other - Middle Name:
Other - Last Name:DONLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:902 HICKORY HILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-1518
Mailing Address - Country:US
Mailing Address - Phone:210-414-0093
Mailing Address - Fax:
Practice Address - Street 1:902 HICKORY HILL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-1518
Practice Address - Country:US
Practice Address - Phone:210-414-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77689101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor