Provider Demographics
NPI:1265155626
Name:HUMPHRIES, DANNA OWENS (LMFT-A)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:OWENS
Last Name:HUMPHRIES
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-1341
Mailing Address - Country:US
Mailing Address - Phone:864-630-8616
Mailing Address - Fax:
Practice Address - Street 1:134 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1617
Practice Address - Country:US
Practice Address - Phone:864-630-8616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist