Healthcare Provider Details

I. General information

NPI: 1205237054
Provider Name (Legal Business Name): DANNA MARIE DAHL MA, LCMFT, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. DANNA MARIE DOUGLAS

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12351 W 96TH TER STE 108
LENEXA KS
66215-4400
US

IV. Provider business mailing address

11030 OAKMONT SUITE 200
OVERLAND PARK KS
66210-1100
US

V. Phone/Fax

Practice location:
  • Phone: 913-286-5258
  • Fax: 913-283-7869
Mailing address:
  • Phone: 913-486-5139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLCPC 2326
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCMFT 713
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: