Provider Demographics
NPI:1215308176
Name:ARMSTRONG, DONNA SPEEKS (MA; PRSS; IRSS)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:SPEEKS
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MA; PRSS; IRSS
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:SPEEKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2313 LOCKHILL SELMA RD # 111
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-3007
Mailing Address - Country:US
Mailing Address - Phone:210-607-7125
Mailing Address - Fax:210-582-2711
Practice Address - Street 1:5624 RANDOLPH BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78233-6116
Practice Address - Country:US
Practice Address - Phone:210-607-7125
Practice Address - Fax:210-582-2711
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X, 175T00000X
171M00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174H00000XOther Service ProvidersHealth Educator