# AMY DANIELS LPC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538759691
- **Authorized official:** MRS. AMY HANES DANIELS LPC (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (251) 366-1710

## Contact information

- **Practice address:** 826 LAKESIDE DR STE D, MOBILE, AL 36693-5124
- **Practice address phone:** (251) 366-1710
- **Mailing address:** 4833 AUDUBON DR, MOBILE, AL 36619-8960
- **Mailing address phone:** (251) 366-1710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2021
- **Last updated:** 01/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1164634812 | LICENSED PROFESSIONAL COUNSELOR | — |