Provider Demographics
NPI:1205161452
Name:DONART, ANDREA R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:R
Last Name:DONART
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POST OFFICE BOX 829
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77704-0829
Mailing Address - Country:US
Mailing Address - Phone:409-724-0281
Mailing Address - Fax:409-832-0145
Practice Address - Street 1:2780 EASTEX FRWY
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77704-0829
Practice Address - Country:US
Practice Address - Phone:409-724-0281
Practice Address - Fax:409-832-0145
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical