Nicholson, Donna Kay

Nicholson, Donna Kay is an sole proprietor health care provider with primary practice located at 1085 Maple St , Farmington MO 63640-1955. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Nicholson, Donna Kay can be contacted via phone (314) 315-7645.

Contact Information

Primary practice address
1085 Maple St Farmington MO 63640-1955
Phone: (314) 315-7645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CS2309 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CS2309 Missouri

Profile Details

NPI number 1316144652
LBN Legal business name Nicholson, Donna Kay
Credentials MA, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jan 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316144652 NPPES
Missouri MEDICAID 498723212

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