Provider / Organization | NPI | Date Certified |
---|---|---|
MICHELLE LEE DONOVAN | 1952464125 | 2024-09-07 |
Michelle Lee Donovan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952464125. Registration indicates Michelle Lee Donovan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Ms. Michelle Lee Donovan LPC |
Practice Office Address | 3900 W BROWN DEER RD SUITE 200 BROWN DEER, WI US |
Practice Office Telephone | 4145402170 |
Practice Office Fax | 4145402171 |
Mailing Address | 16535 W BLUEMOUND RD STE 200 BROOKFIELD, WI 530055906 US |
Business Telephone | 2627891191 |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |
WI |
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 4779-125
WI |
40991100 | MEDICAID | WI |