Provider Demographics
NPI:1588765143
Name:EASLEY, DONITA A (LPC)
Entity type:Individual
Prefix:MRS
First Name:DONITA
Middle Name:A
Last Name:EASLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DONITA
Other - Middle Name:
Other - Last Name:AUSTIN ROTTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:835 CENTRAL AVENUE
Mailing Address - Street 2:STE 427
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901
Mailing Address - Country:US
Mailing Address - Phone:501-617-3079
Mailing Address - Fax:501-620-4546
Practice Address - Street 1:835 CENTRAL AVENUE
Practice Address - Street 2:STE 427
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901
Practice Address - Country:US
Practice Address - Phone:501-617-3079
Practice Address - Fax:501-620-4546
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9208016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health