Provider Demographics
NPI:1710465505
Name:DONNA L. HUNSTOCK INC.
Entity Type:Organization
Organization Name:DONNA L. HUNSTOCK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HUNSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-630-2400
Mailing Address - Street 1:101 MAGNOLIA GARDENS DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70435-9524
Mailing Address - Country:US
Mailing Address - Phone:985-630-2400
Mailing Address - Fax:985-790-7120
Practice Address - Street 1:522 N NEW HAMPSHIRE ST STE 8
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2843
Practice Address - Country:US
Practice Address - Phone:985-630-2400
Practice Address - Fax:985-790-7120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2772103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2772OtherLPC