Provider Demographics
NPI:1689198103
Name:DILLON, SAVANNAH K
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:K
Last Name:DILLON
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 1:2659 N CAUSEWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-6435
Mailing Address - Country:US
Mailing Address - Phone:985-400-5901
Mailing Address - Fax:985-400-5164
Practice Address - Street 1:2659 N CAUSEWAY BLVD
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-6435
Practice Address - Country:US
Practice Address - Phone:985-400-5901
Practice Address - Fax:985-400-5164
Is Sole Proprietor?:No
Enumeration Date:2017-07-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health