Provider Demographics
NPI:1730950718
Name:GEORGES, DAHENSHA THAWANAH
Entity type:Individual
Prefix:
First Name:DAHENSHA
Middle Name:THAWANAH
Last Name:GEORGES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6144 FOREST HILL BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6266
Mailing Address - Country:US
Mailing Address - Phone:561-298-5260
Mailing Address - Fax:
Practice Address - Street 1:951 BROKEN SOUND PKWY NW STE 350
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-3531
Practice Address - Country:US
Practice Address - Phone:561-465-5537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral