Provider Demographics
NPI:1356706451
Name:SMITH, DANA BURNS (LPC-S)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:BURNS
Last Name:SMITH
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 WILL CLAYTON PKWY STE J
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5812
Mailing Address - Country:US
Mailing Address - Phone:832-434-0615
Mailing Address - Fax:832-328-5642
Practice Address - Street 1:8810 WILL CLAYTON PKWY STE J
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5812
Practice Address - Country:US
Practice Address - Phone:832-434-0615
Practice Address - Fax:832-328-5642
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71928101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional