Provider Demographics
NPI:1023452455
Name:DONALDS, BRIAN (MS COUNSELING MFT MH)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:
Last Name:DONALDS
Suffix:
Gender:M
Credentials:MS COUNSELING MFT MH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11031 NE 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7182
Mailing Address - Country:US
Mailing Address - Phone:305-398-6153
Mailing Address - Fax:305-398-6153
Practice Address - Street 1:11031 NE 6TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7182
Practice Address - Country:US
Practice Address - Phone:305-398-6153
Practice Address - Fax:305-398-6153
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor