Provider Demographics
NPI:1891968715
Name:DASANI, DEEPA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEEPA
Middle Name:
Last Name:DASANI
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 1:4422 E. COLUMBUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605
Mailing Address - Country:US
Mailing Address - Phone:813-384-4000
Mailing Address - Fax:813-620-0737
Practice Address - Street 1:4422 E. COLUMBUS DRIVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33605
Practice Address - Country:US
Practice Address - Phone:813-384-4000
Practice Address - Fax:813-620-0737
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 0500270101YP2500X
FLMH10040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional