Provider Demographics
NPI:1720505886
Name:MCDONALD AND ASSOCIATES
Entity Type:Organization
Organization Name:MCDONALD AND ASSOCIATES
Other - Org Name:MCDONALD AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:352-502-0376
Mailing Address - Street 1:PO BOX 1075
Mailing Address - Street 2:
Mailing Address - City:CITRA
Mailing Address - State:FL
Mailing Address - Zip Code:32113-1075
Mailing Address - Country:US
Mailing Address - Phone:352-502-0376
Mailing Address - Fax:
Practice Address - Street 1:1360 NE 175TH STREET
Practice Address - Street 2:
Practice Address - City:CITRA
Practice Address - State:FL
Practice Address - Zip Code:32113-1075
Practice Address - Country:US
Practice Address - Phone:352-502-0376
Practice Address - Fax:352-502-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty