| Doctor Name: | MILENA FERNANDES DANTAS |
| NPI Number: | 1033430970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 261 South St Hyannis, MA - 026013926 |
| Business Phone Number: | 5087716771 |
| Business Fax Number: | |
| Mailing Address: | 95 W Squantum St, 1119 QUINCY |
| State: | MA |
| Postal Code: | 021712123 |
| Phone Number: | 6179093233 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |