Provider Demographics
NPI:1710470786
Name:DANA FUTRELL, PLLC
Entity Type:Organization
Organization Name:DANA FUTRELL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:FUTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:832-509-8390
Mailing Address - Street 1:9595 SIX PINES DR STE 8210
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1642
Mailing Address - Country:US
Mailing Address - Phone:832-509-8390
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 8210
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1642
Practice Address - Country:US
Practice Address - Phone:832-509-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70284101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty