Provider Demographics
NPI:1609045988
Name:FARMER, DONNA TUTEN (MED, LPC, SCLPC)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:TUTEN
Last Name:FARMER
Suffix:
Gender:F
Credentials:MED, LPC, SCLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 ANNA KNAPP BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464
Mailing Address - Country:US
Mailing Address - Phone:843-884-3070
Mailing Address - Fax:843-884-0061
Practice Address - Street 1:1012 ANNA KNAPP BLVD.
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:843-884-3070
Practice Address - Fax:843-884-0061
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC 838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health