Provider Demographics
NPI:1073685517
Name:DOLAN, ANN MARGARET (LMHC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARGARET
Last Name:DOLAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23173
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33623-2173
Mailing Address - Country:US
Mailing Address - Phone:813-988-0070
Mailing Address - Fax:727-791-8896
Practice Address - Street 1:200 S. HOOVER BLVD.
Practice Address - Street 2:#170
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609
Practice Address - Country:US
Practice Address - Phone:813-988-0070
Practice Address - Fax:727-791-8896
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 5591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health