Provider Demographics
NPI:1790481984
Name:LOCHARD, DONNA LEONORA (MS)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LEONORA
Last Name:LOCHARD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3655 DOUGLAS RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2352
Mailing Address - Country:US
Mailing Address - Phone:213-304-6341
Mailing Address - Fax:
Practice Address - Street 1:3655 DOUGLAS RIDGE TRL
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2352
Practice Address - Country:US
Practice Address - Phone:470-830-3386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty