Provider Demographics
NPI:1467252833
Name:DONALDSON, LATISHA (LPCC)
Entity type:Individual
Prefix:
First Name:LATISHA
Middle Name:
Last Name:DONALDSON
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 DUBLIN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1224
Mailing Address - Country:US
Mailing Address - Phone:719-244-5805
Mailing Address - Fax:719-960-2485
Practice Address - Street 1:1880 DUBLIN BLVD STE C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1224
Practice Address - Country:US
Practice Address - Phone:719-244-5805
Practice Address - Fax:719-960-2485
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0021485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health