Provider Demographics
NPI:1194313973
Name:DURHAM, DONNA MINTER (LMFT)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:MINTER
Last Name:DURHAM
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 WILCOT WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8422
Mailing Address - Country:US
Mailing Address - Phone:615-870-4528
Mailing Address - Fax:
Practice Address - Street 1:321 BILLINGSLY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6444
Practice Address - Country:US
Practice Address - Phone:615-870-4528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1424106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist