Donyella Renee McVay

Individual provider Active NPI Mental Health Counselor · Greenwell Springs, LA

NPI 1114585288 · NPPES record last updated Jun 3, 2019

Key facts

NPI
1114585288
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112
Phone
(225) 261-7143
NPI assigned
Jun 3, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

6685 Sullivan Rd Ste B
Greenwell Springs, LA 70739-3112

Mailing address

4633 Cherrywood St
Port Allen, LA 70767-4359
Phone (225) 900-2928

Other identifiers

IdentifierTypeStateIssuer
005320539MedicaidLA

Other providers in Greenwell Springs, LA

All providers in Greenwell Springs, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.