Provider Demographics
NPI:1417735028
Name:DD COUNSELING AND EDUCATIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:DD COUNSELING AND EDUCATIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMEZIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC, NCC
Authorized Official - Phone:331-248-2041
Mailing Address - Street 1:PO BOX 610273
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33261-0273
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2719 HOLLYWOOD BLVD STE A1979
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-4821
Practice Address - Country:US
Practice Address - Phone:331-248-2041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)