Provider Demographics
NPI:1104486737
Name:HENSCHEID, DONNA MARIE (MED, LPC)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MARIE
Last Name:HENSCHEID
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11635 BUCK SPRINGS TRL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-9318
Mailing Address - Country:US
Mailing Address - Phone:281-748-7028
Mailing Address - Fax:
Practice Address - Street 1:8900 EASTLOCH DR STE 220-K
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-2337
Practice Address - Country:US
Practice Address - Phone:346-297-0478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional