Provider Demographics
NPI:1538304407
Name:ECHLIN DONAN, DONNA (LMHC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:ECHLIN DONAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 SW FEDERAL HWY
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2952
Mailing Address - Country:US
Mailing Address - Phone:772-219-9566
Mailing Address - Fax:772-220-8381
Practice Address - Street 1:819 SW FEDERAL HWY
Practice Address - Street 2:SUITE 200B
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2952
Practice Address - Country:US
Practice Address - Phone:772-219-9566
Practice Address - Fax:772-220-8381
Is Sole Proprietor?:No
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ8422OtherBCBS FLA