Provider Demographics
NPI:1598122582
Name:CHANEY, DONYELLE TREMAYNE (BS)
Entity Type:Individual
Prefix:
First Name:DONYELLE
Middle Name:TREMAYNE
Last Name:CHANEY
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 DRUSILLA LN
Mailing Address - Street 2:SUITE E
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1495
Mailing Address - Country:US
Mailing Address - Phone:225-930-4530
Mailing Address - Fax:225-930-4532
Practice Address - Street 1:1680 ONEAL LN
Practice Address - Street 2:APT 282
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-1657
Practice Address - Country:US
Practice Address - Phone:225-573-1998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health