Provider Demographics
NPI:1255437372
Name:GRISET, DONNA K (LPC)
Entity type:Individual
Prefix:MS
First Name:DONNA
Middle Name:K
Last Name:GRISET
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 JAMESTOWN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-3382
Mailing Address - Country:US
Mailing Address - Phone:757-229-7927
Mailing Address - Fax:757-253-8891
Practice Address - Street 1:1318 JAMESTOWN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-3382
Practice Address - Country:US
Practice Address - Phone:757-229-7927
Practice Address - Fax:757-253-8891
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003308101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5414148Medicaid
VA081433OtherOPTIMA
VA245800OtherANTHEM
VA298336OtherMAMSI/ALLIANCE
VA490898OtherVALUE OPTIONS
VA2181314OtherCIGNA