Provider Demographics
NPI:1841044450
Name:LOUHICHI, DONNA
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:LOUHICHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 TUSSEY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-0580
Mailing Address - Country:US
Mailing Address - Phone:706-636-5483
Mailing Address - Fax:706-636-5495
Practice Address - Street 1:37 KIKER ST
Practice Address - Street 2:
Practice Address - City:ELLIJAY
Practice Address - State:GA
Practice Address - Zip Code:30540-3758
Practice Address - Country:US
Practice Address - Phone:336-486-7782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-27738101YA0400X
GAC744101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty