Provider Demographics
NPI:1902160997
Name:DONAHUE COUNSELING CENTER, INC.
Entity Type:Organization
Organization Name:DONAHUE COUNSELING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:DONAHUE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-391-0365
Mailing Address - Street 1:33 SE 7TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-6125
Mailing Address - Country:US
Mailing Address - Phone:561-391-0365
Mailing Address - Fax:
Practice Address - Street 1:33 SE 7TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-6125
Practice Address - Country:US
Practice Address - Phone:561-391-0365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW6533251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE6838Medicare PIN