Provider Demographics
NPI:1205454410
Name:DAWN DILLON COUNSELING AND CONSULTING, PLLC
Entity type:Organization
Organization Name:DAWN DILLON COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DILLON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-613-6803
Mailing Address - Street 1:3100 W 7TH ST APT 619
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2797
Mailing Address - Country:US
Mailing Address - Phone:817-613-6803
Mailing Address - Fax:
Practice Address - Street 1:4200 S HULEN ST STE 450
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4910
Practice Address - Country:US
Practice Address - Phone:817-613-6803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)