Healthcare Provider Details

I. General information

NPI: 1982933933
Provider Name (Legal Business Name): DONNA LEEANN BOND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S MAIN ST
MCALESTER OK
74501-5363
US

IV. Provider business mailing address

PO BOX 736
HARTSHORNE OK
74547-0736
US

V. Phone/Fax

Practice location:
  • Phone: 918-423-5205
  • Fax: 918-423-5255
Mailing address:
  • Phone: 918-429-9786
  • Fax: 918-297-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4588
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: