Provider Demographics
NPI:1649094640
Name:DASANI, SEEMA (MS, LPCA)
Entity type:Individual
Prefix:
First Name:SEEMA
Middle Name:
Last Name:DASANI
Suffix:
Gender:F
Credentials:MS, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RIVER RD STE 131
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4069
Mailing Address - Country:US
Mailing Address - Phone:914-572-4389
Mailing Address - Fax:
Practice Address - Street 1:5 RIVER RD STE 131
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4069
Practice Address - Country:US
Practice Address - Phone:914-572-4389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6619101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty