Provider Demographics
NPI:1316448921
Name:O'NEILL, DANA RENEE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:RENEE
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 E LOMBARDY DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-9218
Mailing Address - Country:US
Mailing Address - Phone:407-476-9666
Mailing Address - Fax:
Practice Address - Street 1:7901 4TH ST N STE 14076
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4305
Practice Address - Country:US
Practice Address - Phone:407-476-9666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009955101YM0800X
FLMH16583101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health