Provider Demographics
NPI:1922797976
Name:REEVES, DANA ANNE (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:ANNE
Last Name:REEVES
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-7216
Mailing Address - Country:US
Mailing Address - Phone:570-856-0547
Mailing Address - Fax:
Practice Address - Street 1:21 W MARSHALL ST
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-7216
Practice Address - Country:US
Practice Address - Phone:570-856-0547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012462-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health