# BRENDA B. DONALD, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Brenda B. Donald, LCSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811408545
- **Authorized official:** COURTNEY B. CHANCE (ASSISTANT)
- **Authorized official phone:** (601) 519-5811

## Contact information

- **Practice address:** 133 EXECUTIVE DR STE D, MADISON, MS 39110-8440
- **Practice address phone:** (601) 898-7778
- **Practice address fax:** (601) 607-5019
- **Mailing address:** 133 EXECUTIVE DR STE D, MADISON, MS 39110-8440
- **Mailing address phone:** (601) 898-7778
- **Mailing address fax:** (601) 607-5019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C0902 | MS | Yes |

## Other

- **Enumeration date:** 10/20/2017
- **Last updated:** 10/20/2017