Provider Demographics
NPI:1982967089
Name:NOLAN, DANA LYNN (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:LYNN
Last Name:NOLAN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1132 BENT BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPG
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1817
Mailing Address - Country:US
Mailing Address - Phone:407-340-2474
Mailing Address - Fax:
Practice Address - Street 1:1180 SPRING CENTRE SOUTH BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:ALTAMONTE SPG
Practice Address - State:FL
Practice Address - Zip Code:32714-1974
Practice Address - Country:US
Practice Address - Phone:407-340-2474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7667101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health