Provider Demographics
NPI:1912606377
Name:GANAWAY, DY'NESIA (MFT)
Entity type:Individual
Prefix:
First Name:DY'NESIA
Middle Name:
Last Name:GANAWAY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6565 ARLINGTON BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3000
Mailing Address - Country:US
Mailing Address - Phone:571-946-2189
Mailing Address - Fax:703-787-8210
Practice Address - Street 1:6565 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3013
Practice Address - Country:US
Practice Address - Phone:571-946-2189
Practice Address - Fax:703-787-8210
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000640106H00000X
VA0717002431106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist