| Doctor Name: | DENNA LANTZ |
| NPI Number: | 1114358488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | SW11717 |
| Business Practice Address: | 800 Hospital Dr Crestview, FL - 325397385 |
| Business Phone Number: | 8506821164 |
| Business Fax Number: | 8506825302 |
| Mailing Address: | 2804 Remington Green Cir, Ste 2 TALLAHASSEE |
| State: | FL |
| Postal Code: | 323081550 |
| Phone Number: | 8503854494 |
| Fax Number: | 8502986054 |
| NPI Enumeration Date: | 12/11/2013 |
| NPI Last Update Date: | 02/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW11717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |