Healthcare Provider Details

I. General information

NPI: 1881334167
Provider Name (Legal Business Name): DONNA J BORDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 04/01/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47300 NARROWS RUN RD
SARDIS OH
43946-9699
US

IV. Provider business mailing address

47300 NARROWS RUN RD
SARDIS OH
43946-9699
US

V. Phone/Fax

Practice location:
  • Phone: 740-228-1380
  • Fax:
Mailing address:
  • Phone: 740-228-1380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number966
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: