Provider Demographics
NPI:1972084333
Name:DENSON, DANA PATRICE (LPC, LMHC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:PATRICE
Last Name:DENSON
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:PATRICE
Other - Last Name:SUMMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMHC
Mailing Address - Street 1:13402 RAVENS PARK LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-4061
Mailing Address - Country:US
Mailing Address - Phone:407-334-7726
Mailing Address - Fax:
Practice Address - Street 1:2245 TEXAS DR STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1468
Practice Address - Country:US
Practice Address - Phone:832-604-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2021-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14264101YM0800X
171M00000X
TX80106101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator