DONOVAN THIERRY
NPI 1265930465
Counselor - Mental Health in Gonzales, LA
Active since January 23, 2018
1724 N BURNSIDE AVE STE 7, GONZALES, LA 70737(225) 644-8565(225) 644-6261 Get Directions Write a Review
About Donovan Thierry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONOVAN THIERRY (NPI 1265930465) is an individual mental health provider in Gonzales, Louisiana and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1265930465
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDONOVAN THIERRY
Location Address1724 N BURNSIDE AVE STE 7Gonzales, LA 70737-2157
Mailing Address1724 N Burnside Ave Ste 7Gonzales, LA 70737-2157 · (225) 644-8565 · Fax (225) 644-6261
Phone(225) 644-8565
Fax(225) 644-6261
Sole ProprietorYes
Enumeration DateJanuary 23, 2018
✔ NPI 1265930465 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1724 N BURNSIDE AVE STE 7, Gonzales, LA 70737
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265930465, enumerated as an "individual" on January 23, 2018.
The provider is located at 1724 N BURNSIDE AVE STE 7 GONZALES, LA 70737 and the phone number is (225) 644-8565.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
