Provider Demographics
NPI:1306128160
Name:DONOFRIO, JOYCE DENISE (LCSW, LPC)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:DENISE
Last Name:DONOFRIO
Suffix:
Gender:F
Credentials:LCSW, LPC
Other - Prefix:
Other - First Name:J.
Other - Middle Name:DENISE
Other - Last Name:DONOFRIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, LPC
Mailing Address - Street 1:6842 LEBANON RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-7478
Mailing Address - Country:US
Mailing Address - Phone:972-380-1842
Mailing Address - Fax:214-436-4790
Practice Address - Street 1:6842 LEBANON RD
Practice Address - Street 2:SUITE 103
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-7478
Practice Address - Country:US
Practice Address - Phone:972-380-1842
Practice Address - Fax:214-436-4790
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12542101YP2500X
TX206521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional