Doctor Name: | MR. TIMOTHY L. DONOHOE |
NPI Number: | 1689756538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., L.P.C. |
License Number: | 000084 |
Business Practice Address: | 215 Main St Bay St Louis, MS - 395204527 |
Business Phone Number: | 2224675770 |
Business Fax Number: | 2284675761 |
Mailing Address: | 215 Main St, BAY ST LOUIS |
State: | MS |
Postal Code: | 395204527 |
Phone Number: | 2284675770 |
Fax Number: | 2284675761 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 12/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |