Provider Demographics
NPI:1770802167
Name:DHANA INCORPORATED
Entity type:Organization
Organization Name:DHANA INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:KAYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MENTAL HEALTH COUNSE
Authorized Official - Phone:727-902-1152
Mailing Address - Street 1:500 TRINITY LANE NORTH
Mailing Address - Street 2:SUITE 1205
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716
Mailing Address - Country:US
Mailing Address - Phone:727-902-1152
Mailing Address - Fax:
Practice Address - Street 1:500 TRINITY LANE NORTH
Practice Address - Street 2:SUITE 1205
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716
Practice Address - Country:US
Practice Address - Phone:727-902-1152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC663101YM0800X
FLPMH962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty