| Doctor Name: | MRS. DEANNA RUTH DENNIS |
| NPI Number: | 1124244983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC005515 |
| Business Practice Address: | 180 Wateroak Drive Cedartown, GA - 301252095 |
| Business Phone Number: | 7067482225 |
| Business Fax Number: | 7067490939 |
| Mailing Address: | 1620 Hickory Street, Suite 404 DALTON |
| State: | GA |
| Postal Code: | 307202312 |
| Phone Number: | 7062705033 |
| Fax Number: | 7063707749 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 08/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |