Provider Demographics
NPI:1427856582
Name:DONAHUE, BREONA JAE (MSW, CSW)
Entity type:Individual
Prefix:
First Name:BREONA
Middle Name:JAE
Last Name:DONAHUE
Suffix:
Gender:
Credentials:MSW, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 ONEAL LN APT 303
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-3412
Mailing Address - Country:US
Mailing Address - Phone:504-758-9954
Mailing Address - Fax:
Practice Address - Street 1:2525 ONEAL LN APT 303
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-3412
Practice Address - Country:US
Practice Address - Phone:504-758-9954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker