Provider Demographics
NPI:1194389106
Name:DANCY, MAXCY (LMFT)
Entity type:Individual
Prefix:MISS
First Name:MAXCY
Middle Name:
Last Name:DANCY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28310 ROADSIDE DR STE 247
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4952
Mailing Address - Country:US
Mailing Address - Phone:818-823-9067
Mailing Address - Fax:
Practice Address - Street 1:28310 ROADSIDE DR STE 247
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4952
Practice Address - Country:US
Practice Address - Phone:818-823-9067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88402106H00000X
CA113104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist