Provider Demographics
NPI:1902160740
Name:DINZEY, MAHALIA A (MHC, MFT, CMHP)
Entity Type:Individual
Prefix:MISS
First Name:MAHALIA
Middle Name:A
Last Name:DINZEY
Suffix:
Gender:F
Credentials:MHC, MFT, CMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3828 E LAKE PL
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4936
Mailing Address - Country:US
Mailing Address - Phone:954-613-5957
Mailing Address - Fax:
Practice Address - Street 1:3828 E LAKE PL
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-4936
Practice Address - Country:US
Practice Address - Phone:954-613-5957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist