Provider Demographics
NPI:1447539903
Name:MCDOWELL, DONNA ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:ELIZABETH
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:MR
Other - First Name:DONNA
Other - Middle Name:ELIZABETH
Other - Last Name:MCDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:175 RADCLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8368
Mailing Address - Country:US
Mailing Address - Phone:770-714-6154
Mailing Address - Fax:
Practice Address - Street 1:827 FAIRWAYS CT STE 204
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-9068
Practice Address - Country:US
Practice Address - Phone:678-272-7841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007467101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health