Provider Demographics
NPI:1326377805
Name:DOS BEAGLES, INC.
Entity Type:Organization
Organization Name:DOS BEAGLES, INC.
Other - Org Name:LAURA L. HENSLEY, LMHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-482-3862
Mailing Address - Street 1:1924 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-2804
Mailing Address - Country:US
Mailing Address - Phone:727-482-3862
Mailing Address - Fax:
Practice Address - Street 1:1924 1ST ST SE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-2804
Practice Address - Country:US
Practice Address - Phone:727-482-3862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1154535979OtherPERSONAL NPI NUMBER FOR LAURA L. HENSLEY, LMHC