Provider Demographics
NPI:1649737784
Name:DEWITT, DAWN D (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:D
Last Name:DEWITT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:CUMMONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:409 SUGARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75087-9267
Mailing Address - Country:US
Mailing Address - Phone:214-695-2052
Mailing Address - Fax:
Practice Address - Street 1:409 SUGARBERRY LN
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75087-9267
Practice Address - Country:US
Practice Address - Phone:214-695-2052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YS0200X
TX76845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool