NPIMap

Organization Active NPI

Dna Comprehensive Therapy Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
National Provider Identifier
1104559848
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DNA COMPREHENSIVE THERAPY SERVICES, LLC
Practice address
1737 N Clyde Morris Blvd
Daytona Beach, FL 32117-5533
Phone
(239) 236-8784
Fax
(239) 790-2624
NPI assigned
Jul 8, 2022
Organization subpart
Yes
Parent organization
DNA COMPREHENSIVE THERAPY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Noemi Dosoretz
Title
Ceo
Phone
(239) 223-2751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1737 N Clyde Morris Blvd
Daytona Beach, FL 32117-5533

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2321051Dna Comprehensive Therapy Services LLC1737 N Clyde Morris Blvd Ste 140, Daytona Beach, FL 32117Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dna Comprehensive Therapy67 organizations share this tax ID, including this one
Part of
Dna Comprehensive Therapy

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

1737 N Clyde Morris Blvd
Ste 140
Daytona Beach, FL 32117
Phone (321) 888-3020

1737 N Clyde Morris Blvd
Daytona Beach, FL 32117
Phone (321) 888-3020

285 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 262-1627

8839 Bryan Dairy Rd
Ste 310
Seminole, FL 33777
Phone (727) 446-5681

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1104559848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-236-8784",
            "fax_number": "239-790-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175533",
            "telephone_number": "239-236-8784",
            "fax_number": "239-790-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA COMPREHENSIVE THERAPY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNA COMPREHENSIVE THERAPY SERVICES, LLC",
        "enumeration_date": "2022-07-08",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DOSORETZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-223-2751"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.