Healthcare Provider Details

I. General information

NPI: 1396663944
Provider Name (Legal Business Name): LANINA HILL-DORCHY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10491 BEN C PRATT/6 MILE CYPRESS PKWY STE 250
FORT MYERS FL
33966-6514
US

IV. Provider business mailing address

1080 SW GRANDVIEW ST APT 101
LAKE CITY FL
32025-0628
US

V. Phone/Fax

Practice location:
  • Phone: 239-896-6984
  • Fax:
Mailing address:
  • Phone: 386-438-4118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: