Provider Demographics
NPI:1457495087
Name:GILLETTE, DONNA L (LMHC AND CLINICAL SP)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:L
Last Name:GILLETTE
Suffix:
Gender:F
Credentials:LMHC AND CLINICAL SP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3360 CAPITAL CIRCLE N.E.
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308
Mailing Address - Country:US
Mailing Address - Phone:850-877-8434
Mailing Address - Fax:850-877-7984
Practice Address - Street 1:3360 CAPITAL CIRCLE N.E.
Practice Address - Street 2:SUITE C-1
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308
Practice Address - Country:US
Practice Address - Phone:850-877-8434
Practice Address - Fax:850-877-7984
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLFLMHC1284101YM0800X
103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health