Provider Demographics
NPI:1851304505
Name:COLE, DONALD LEE (D MIN)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:COLE
Suffix:
Gender:M
Credentials:D MIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 W. BAY AREA BLVD.
Mailing Address - Street 2:SUITE 310
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-2667
Mailing Address - Country:US
Mailing Address - Phone:281-480-0200
Mailing Address - Fax:281-480-0202
Practice Address - Street 1:1560 W. BAY AREA BLVD.
Practice Address - Street 2:SUITE 310
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-2667
Practice Address - Country:US
Practice Address - Phone:281-480-0200
Practice Address - Fax:281-480-0202
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11023101YP2500X
TX2919106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84911LOtherBLUE CROSS BLUE SHIELD #