Provider Demographics
NPI:1225112303
Name:DENNIS, ILA E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ILA
Middle Name:E
Last Name:DENNIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 HIGHLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098
Mailing Address - Country:US
Mailing Address - Phone:972-941-6797
Mailing Address - Fax:972-763-0898
Practice Address - Street 1:7600 LAKEVIEW PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088
Practice Address - Country:US
Practice Address - Phone:214-607-4000
Practice Address - Fax:214-607-4044
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5013511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical