Provider Demographics
NPI:1689451379
Name:AVANT, DONNA M (LICSW)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:AVANT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8326 ANNIKA DR
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-4912
Mailing Address - Country:US
Mailing Address - Phone:205-394-2151
Mailing Address - Fax:
Practice Address - Street 1:8326 ANNIKA DR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-4912
Practice Address - Country:US
Practice Address - Phone:205-394-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1395C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health