Provider Demographics
NPI:1679363048
Name:DACIUS, GUYNA (LCSW)
Entity type:Individual
Prefix:
First Name:GUYNA
Middle Name:
Last Name:DACIUS
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 TEMPLE RD W
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-3741
Mailing Address - Country:US
Mailing Address - Phone:239-634-1564
Mailing Address - Fax:
Practice Address - Street 1:111 S MAITLAND AVE STE 205
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-5647
Practice Address - Country:US
Practice Address - Phone:888-587-0335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW245901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical