Provider Demographics
NPI: | 1851510515 |
---|---|
Name: | BILLINGSLEY PH D, DONNA (PHD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | DONNA |
Middle Name: | |
Last Name: | BILLINGSLEY PH D |
Suffix: | |
Gender: | F |
Credentials: | PHD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | DRUID CHASE 2801 BUFORD HWY, N. E. |
Mailing Address - Street 2: | SUITE 540 |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30329 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 404-294-8688 |
Mailing Address - Fax: | |
Practice Address - Street 1: | DRUID CHASE 2801 BUFORD HWY, N. E. |
Practice Address - Street 2: | SUITE 540 |
Practice Address - City: | ATLANTA |
Practice Address - State: | GA |
Practice Address - Zip Code: | 30329 |
Practice Address - Country: | US |
Practice Address - Phone: | 404-294-8688 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-24 |
Last Update Date: | 2010-09-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
GA | 499 | 106H00000X, 103T00000X, 103TA0400X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103TE1100X, 103TF0000X, 103TH0004X, 103TH0100X, 103TP0814X, 103TP2701X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
No | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | Addiction (Substance Use Disorder) |
No | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | Cognitive & Behavioral |
No | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling |
No | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No | 103TE1100X | Behavioral Health & Social Service Providers | Psychologist | Exercise & Sports |
No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family |
No | 103TH0004X | Behavioral Health & Social Service Providers | Psychologist | Health |
No | 103TH0100X | Behavioral Health & Social Service Providers | Psychologist | Health Service |
No | 103TP0814X | Behavioral Health & Social Service Providers | Psychologist | Psychoanalysis |
No | 103TP2701X | Behavioral Health & Social Service Providers | Psychologist | Group Psychotherapy |