| Doctor Name: | MR. DONALD EUGENE HENRY |
| NPI Number: | 1528232592 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6070 |
| Business Practice Address: | 244 Emerald Crk W Abita Springs, LA - 704203351 |
| Business Phone Number: | 5049191038 |
| Business Fax Number: | 9858719293 |
| Mailing Address: | 244 Emerald Crk W, ABITA SPRINGS |
| State: | LA |
| Postal Code: | 704203351 |
| Phone Number: | 5049191038 |
| Fax Number: | 9858719293 |
| NPI Enumeration Date: | 04/21/2008 |
| NPI Last Update Date: | 04/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6070 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |