Basic Information
| Provider Information | |||||||||
| NPI: | 1073043451 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FLORAN | ||||||||
| FirstName: | DAWN | ||||||||
| MiddleName: | RACHEL | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPC, LCDC-I | ||||||||
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| Mailing Information | |||||||||
| Address1: | 101 S FANNIN ST STE 105 | ||||||||
| Address2: | |||||||||
| City: | ROCKWALL | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750873775 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9726934293 | ||||||||
| FaxNumber: | 9726925427 | ||||||||
| Practice Location | |||||||||
| Address1: | 1345 RIVER BEND DR | ||||||||
| Address2: | |||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752476943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2147431272 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/18/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 74734 | TX | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
ID Information
| ID | Type | State | Issuer | Description | 74734 | 01 | TX | LICENSED PROFESSIONAL COUNSELOR | OTHER | 0000 | 01 | TX | LICENSED CHEMICAL DEPENDENCY COUNSELOR INTERN | OTHER |