Provider Demographics
NPI:1184843153
Name:CRAIN, DEANN DELANEY (LMHC)
Entity Type:Individual
Prefix:
First Name:DEANN
Middle Name:DELANEY
Last Name:CRAIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 STANFORD RD
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-2742
Mailing Address - Country:US
Mailing Address - Phone:850-934-7009
Mailing Address - Fax:
Practice Address - Street 1:1570 STANFORD RD
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-2742
Practice Address - Country:US
Practice Address - Phone:850-934-7009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8631101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health