Provider Demographics
NPI:1881027043
Name:MAYA DONALDSON, ALICIA ERICA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:ERICA
Last Name:MAYA DONALDSON
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:73 WHITE BRIDGE RD
Mailing Address - Street 2:#103-243
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1444
Mailing Address - Country:US
Mailing Address - Phone:615-673-6737
Mailing Address - Fax:180-047-4403
Practice Address - Street 1:73 WHITE BRIDGE RD
Practice Address - Street 2:#103-243
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1444
Practice Address - Country:US
Practice Address - Phone:615-673-6737
Practice Address - Fax:180-047-4403
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN55531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical