Provider Demographics
NPI:1356610588
Name:J. DENISE DONOFRIO, LLC
Entity type:Organization
Organization Name:J. DENISE DONOFRIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:DONOFRIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCSW
Authorized Official - Phone:972-380-1842
Mailing Address - Street 1:6842 LEBANON RD
Mailing Address - Street 2:SUITE103
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7478
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6842 LEBANON RD
Practice Address - Street 2:SUITE103
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7478
Practice Address - Country:US
Practice Address - Phone:972-380-1842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20652251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health