Lisa Dante, LMHC

Individual provider Active NPI Mental Health Counselor · Debary, FL

NPI 1871879437 · NPPES record last updated Mar 23, 2021

Key facts

NPI
1871879437
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
MH 3139 (FL)
Practice address
110 Pond CT Ste 201
Debary, FL 32713-2717
Phone
(386) 252-7119
Fax
(386) 676-7134
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MH 3139FLMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 3139 FL Yes

Addresses

Primary practice location

110 Pond CT Ste 201
Debary, FL 32713-2717

Mailing address

110 Pond CT Ste 201
Debary, FL 32713-2717
Phone (386) 252-7119

Other practice location 1

1811 N Merrick Dr
Deltona, FL 32738-4952
Phone (407) 276-3210

Other providers in Debary, FL

All providers in Debary, FL · Mental Health Counselor in Florida

Sources for this page

Verify at the official NPI Registry.