Provider Demographics
NPI:1417744004
Name:HARTLESS, DANA RENEE (LPC)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:RENEE
Last Name:HARTLESS
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1939
Mailing Address - Country:US
Mailing Address - Phone:972-948-7384
Mailing Address - Fax:
Practice Address - Street 1:375 FM 548
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-6968
Practice Address - Country:US
Practice Address - Phone:972-948-7384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73290101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional