Provider Demographics
NPI:1740961036
Name:DONAHUE, CHRISTINA D (LPC/MHSP)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:D
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 S CHURCH ST STE 805
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4983
Mailing Address - Country:US
Mailing Address - Phone:615-573-1186
Mailing Address - Fax:
Practice Address - Street 1:745 S CHURCH ST STE 805
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4983
Practice Address - Country:US
Practice Address - Phone:615-573-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5633101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty