Provider Demographics
NPI:1770813073
Name:DESSY, NANCY A (LMFT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:DESSY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 SW 75TH ST
Mailing Address - Street 2:#183
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5504
Mailing Address - Country:US
Mailing Address - Phone:352-672-0618
Mailing Address - Fax:
Practice Address - Street 1:2625 SW 75TH ST
Practice Address - Street 2:#1232
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-8336
Practice Address - Country:US
Practice Address - Phone:352-672-0618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2415106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist