Provider Demographics
NPI:1386901957
Name:ELSNER, DONNA LYNN (MA, RMHCI)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LYNN
Last Name:ELSNER
Suffix:
Gender:F
Credentials:MA, RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 GAY GAYLE TER
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32118-5905
Mailing Address - Country:US
Mailing Address - Phone:386-547-4695
Mailing Address - Fax:
Practice Address - Street 1:114 GAY GAYLE TER
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32118-5905
Practice Address - Country:US
Practice Address - Phone:386-547-4695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRMHCI 10529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health