Provider Demographics
NPI:1851991533
Name:THOMAS-DONALDSON, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:THOMAS-DONALDSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:93 BEAUMONT ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3217
Mailing Address - Country:US
Mailing Address - Phone:931-274-7588
Mailing Address - Fax:
Practice Address - Street 1:93 BEAUMONT ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3217
Practice Address - Country:US
Practice Address - Phone:931-274-7588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health