Provider Demographics
NPI:1649779190
Name:HORNSBY, DONNA TINSLEY (MSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:TINSLEY
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10398 TAMPARY ST
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-9548
Mailing Address - Country:US
Mailing Address - Phone:251-279-0886
Mailing Address - Fax:
Practice Address - Street 1:7 S SUMMIT ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2331
Practice Address - Country:US
Practice Address - Phone:251-279-0886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-09
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2911G104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker