Provider Demographics
NPI:1902045545
Name:GARRISON, DANA T (LPC, LMFT)
Entity Type:Individual
Prefix:MISS
First Name:DANA
Middle Name:T
Last Name:GARRISON
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9814 E WHEATON CIR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2238
Mailing Address - Country:US
Mailing Address - Phone:504-669-4658
Mailing Address - Fax:
Practice Address - Street 1:117 FOCIS ST
Practice Address - Street 2:SUITE 204
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3474
Practice Address - Country:US
Practice Address - Phone:504-669-4658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2798101YP2500X
LA747106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist