Dana Gavin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Stringer, MS
NPI 1942432547 · NPPES record last updated Aug 14, 2009
Key facts
- NPI
- 1942432547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- M5890 (MS)
- Practice address
- 1190 County Road 21
Stringer, MS 39481-4402 - Phone
- (601) 705-1901
- NPI assigned
- Aug 14, 2009
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| M5890 | MS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | M5890 | MS | Yes |
Addresses
Primary practice location
1190 County Road 21
Stringer, MS 39481-4402
Mailing address
1190 County Road 21
Stringer, MS 39481-4402
Phone (601) 705-1901
Other providers in Stringer, MS
- Available Medical Supplies, Inc.
- James Blackledge
- Sidney Seth Hester
- Larry Carlton Jenkins
- Barry Porter
All providers in Stringer, MS · Marriage & Family Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.