Provider Demographics
NPI:1821843566
Name:CARVER, DONNA LEA (MA, LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LEA
Last Name:CARVER
Suffix:
Gender:F
Credentials:MA, LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1939 TATE BLVD SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1430
Mailing Address - Country:US
Mailing Address - Phone:828-469-5098
Mailing Address - Fax:
Practice Address - Street 1:1939 TATE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1430
Practice Address - Country:US
Practice Address - Phone:828-469-5098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty