Provider Demographics
NPI:1295732485
Name:AIREY, DONA JOY (LCSW, LMT)
Entity type:Individual
Prefix:MS
First Name:DONA
Middle Name:JOY
Last Name:AIREY
Suffix:
Gender:F
Credentials:LCSW, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 VIRGINIA AVE
Mailing Address - Street 2:STE B
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-4722
Mailing Address - Country:US
Mailing Address - Phone:502-420-9911
Mailing Address - Fax:502-420-9996
Practice Address - Street 1:408 VIRGINIA AVE
Practice Address - Street 2:STE B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4722
Practice Address - Country:US
Practice Address - Phone:502-420-9911
Practice Address - Fax:502-420-9996
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY06381041C0700X
KYKY-1933174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY178865OtherVALUE OPTIONS
KY2136433OtherCIGNA BEHAVIORAL HEALTH
KY208454OtherCOMPPSYCH INSURANCE
KY0578650000OtherMAGELLAN
KY1548306665OtherANODON, INC NPI (CORPORA
KY000000230216OtherBLUE CROSS BLUE SHIELD
KY208454OtherCOMPPSYCH INSURANCE
KY0578650000OtherMAGELLAN