Decillis, Dana

Decillis, Dana is an individual health care provider with primary practice located at 27 Naek Road , Vernon CT 06066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Decillis, Dana can be contacted via phone (413) 537-4284.

Contact Information

Primary practice address
27 Naek Road Vernon CT 06066
Phone: (413) 537-4284
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1596 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5595 Massachusetts

Profile Details

NPI number 1215050141
LBN Legal business name Decillis, Dana
Credentials MA, LMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Jan 22nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215050141 NPPES
Massachusetts MEDICAID 1300881
Massachusetts Other 0300010

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