Organization Active NPI

I Dare You to Heal, LLC

  • Mental Health Counselor
  • Huntsville, AL
National Provider Identifier
1790498533
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
I DARE YOU TO HEAL, LLC
Practice address
3408 Wall Triana Hwy
Suite 6527
Huntsville, AL 35813-2021
Phone
(702) 803-2463
NPI assigned
Dec 26, 2022
Last updated
Nov 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Authorized official

Name
Dr. Lanecha ConnerNPI 1003337635
Title
Clinical Director
Phone
(702) 803-2463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3408 Wall Triana Hwy
Suite 6527
Huntsville, AL 35813-2021

Mailing address

3408 Wall Triana Hwy
Suite 6527
Huntsville, AL 35813-2021
Phone (702) 803-2463

National Provider Directory

National Provider Directory

Locations

3408 Wall Triana Hwy
Unit 6527
Huntsville, AL 35813
Phone (702) 803-2463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731196800000",
    "number": "1790498533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 WALL TRIANA HWY",
            "address_2": "SUITE 6527",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358132021",
            "telephone_number": "702-803-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WALL TRIANA HWY",
            "address_2": "SUITE 6527",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358132021",
            "telephone_number": "702-803-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I DARE YOU TO HEAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LANECHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-803-2463",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.