MEDICARE: DANA LYNN NOLAN MS, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH 7667	FL

General Provider Information

NPI Number	:	1982967089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA LYNN NOLAN MS, LMHC

Provider Business Mailing Address
First Line	:	1132 BENT BIRCH CT
Second Line	:
City	:	ALTAMONTE SPG
State	:	FL
Zip	:	32714-1817
Country	:	US
Telephone Number	:	407-340-2474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD
Second Line	:	SUITE 203
City	:	ALTAMONTE SPG
State	:	FL
Zip	:	32714-1974
Country	:	US
Telephone Number	:	407-340-2474
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2012
Last Update Date	:	11/06/2023

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