Healthcare Provider Details

I. General information

NPI: 1528988086
Provider Name (Legal Business Name): CYRENA MARIE DANN MS, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SARGENT DR
FREDERICKTOWN MO
63645-7526
US

IV. Provider business mailing address

608 E COLLEGE ST
FARMINGTON MO
63640-1302
US

V. Phone/Fax

Practice location:
  • Phone: 573-783-4400
  • Fax:
Mailing address:
  • Phone: 573-783-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026033843
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: