Provider Demographics
NPI:1760546527
Name:DECHANT, LORI ANN (LMFT, LMHC, CCMHC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:DECHANT
Suffix:
Gender:F
Credentials:LMFT, LMHC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 694
Mailing Address - Street 2:
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-0694
Mailing Address - Country:US
Mailing Address - Phone:760-881-1177
Mailing Address - Fax:518-636-1881
Practice Address - Street 1:10 LA CROSS ST BLDG A
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1415
Practice Address - Country:US
Practice Address - Phone:760-881-1177
Practice Address - Fax:518-636-1881
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0068.135369101YM0800X
VT068.0135369101YM0800X
NC67803101YP2500X
CA49797106H00000X
CA52261106H00000X
NY001527106H00000X
NY009656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist