Provider Demographics
NPI:1730103383
Name:HON, DOROTHY JANE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JANE
Last Name:HON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 SHADY LEAF DR
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-6155
Mailing Address - Country:US
Mailing Address - Phone:813-661-5088
Mailing Address - Fax:813-740-1887
Practice Address - Street 1:101 AMERICAN CENTER PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-4448
Practice Address - Country:US
Practice Address - Phone:813-740-2526
Practice Address - Fax:813-740-1887
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health