Provider Demographics
NPI:1356658249
Name:LITTLE, DASHA EFIRD (LPC (NC) CRC, CDMS,)
Entity Type:Individual
Prefix:MRS
First Name:DASHA
Middle Name:EFIRD
Last Name:LITTLE
Suffix:
Gender:F
Credentials:LPC (NC) CRC, CDMS,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 INDEPENDENCE PKWY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-5173
Mailing Address - Country:US
Mailing Address - Phone:757-549-2645
Mailing Address - Fax:757-549-9939
Practice Address - Street 1:501 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE 108
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-5173
Practice Address - Country:US
Practice Address - Phone:757-549-2645
Practice Address - Fax:757-549-9939
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3139101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional