Provider Demographics
NPI:1245445857
Name:DONOHUE, COLLEEN M (LPC)
Entity type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:M
Last Name:DONOHUE
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 1:10300 CENTRAL EXPRESSWAY
Mailing Address - Street 2:STE 320
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-8656
Mailing Address - Country:US
Mailing Address - Phone:214-378-7011
Mailing Address - Fax:214-378-7009
Practice Address - Street 1:10300 CENTRAL EXPRESSWAY
Practice Address - Street 2:STE 320
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-8656
Practice Address - Country:US
Practice Address - Phone:214-378-7011
Practice Address - Fax:214-378-7009
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10352101YP2500X
TX003754042960106H00000X
TX461594364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult