Provider Demographics
NPI:1194177550
Name:STRAHAN, DILAS (BS)
Entity type:Individual
Prefix:MR
First Name:DILAS
Middle Name:
Last Name:STRAHAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6809 PERCY DR
Mailing Address - Street 2:
Mailing Address - City:CAMBY
Mailing Address - State:IN
Mailing Address - Zip Code:46113-7601
Mailing Address - Country:US
Mailing Address - Phone:317-701-0749
Mailing Address - Fax:
Practice Address - Street 1:6809 PERCY DR
Practice Address - Street 2:
Practice Address - City:CAMBY
Practice Address - State:IN
Practice Address - Zip Code:46113-7601
Practice Address - Country:US
Practice Address - Phone:317-701-0749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor