Provider Demographics
NPI:1699546960
Name:MENDEZ, DONNA (EDD, LPC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:EDD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8783 FLINT LN
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-1491
Mailing Address - Country:US
Mailing Address - Phone:708-945-6551
Mailing Address - Fax:
Practice Address - Street 1:10660 W 143RD ST STE E
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-1982
Practice Address - Country:US
Practice Address - Phone:815-258-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health