Provider Demographics
NPI:1396638607
Name:KING, DONNA GHIDEI (MA,LCASA-A CADC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:GHIDEI
Last Name:KING
Suffix:
Gender:F
Credentials:MA,LCASA-A CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 E 7TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2460
Mailing Address - Country:US
Mailing Address - Phone:704-930-1069
Mailing Address - Fax:
Practice Address - Street 1:1431 E 7TH ST APT 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2460
Practice Address - Country:US
Practice Address - Phone:704-930-1069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-28661251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management