| Doctor Name: | DAWN S. LIPHART |
| NPI Number: | 1003108986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MH8414 |
| Business Practice Address: | 11265 Alumni Way Jacksonville, FL - 322466685 |
| Business Phone Number: | 9043982020 |
| Business Fax Number: | 9047242172 |
| Mailing Address: | 8212 White Falls Blvd Unit 105, JACKSONVILLE |
| State: | FL |
| Postal Code: | 322568507 |
| Phone Number: | 9046511665 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2011 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH8414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |