Provider Demographics
NPI:1891814125
Name:CROW, DONNA (LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:CROW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NOBLE ST
Mailing Address - Street 2:SUITE 5, BOX 22
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-5698
Mailing Address - Country:US
Mailing Address - Phone:256-237-2200
Mailing Address - Fax:256-237-2200
Practice Address - Street 1:801 NOBLE ST
Practice Address - Street 2:SUITE 5, BOX 22
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-5698
Practice Address - Country:US
Practice Address - Phone:256-237-2200
Practice Address - Fax:256-237-2200
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health