Provider Demographics
NPI:1649651316
Name:ROWDEN, DONNA CLEVELAND (LPC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:CLEVELAND
Last Name:ROWDEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 ROSE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-5078
Mailing Address - Country:US
Mailing Address - Phone:678-481-7547
Mailing Address - Fax:678-828-8164
Practice Address - Street 1:132 STANLEY CT
Practice Address - Street 2:SUITE F
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-9061
Practice Address - Country:US
Practice Address - Phone:470-798-0244
Practice Address - Fax:678-828-8164
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA13575325OtherCAQH
GA003165242AMedicaid