Provider Demographics
NPI:1508332164
Name:CILA, DANA ROSE
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ROSE
Last Name:CILA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 NW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5202
Mailing Address - Country:US
Mailing Address - Phone:954-663-0006
Mailing Address - Fax:
Practice Address - Street 1:80 NW 35TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309-5202
Practice Address - Country:US
Practice Address - Phone:954-663-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health