Individual
DANIELLE L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1395 N COURTENAY PKWY STE 207, MERRITT ISLAND, FL 32953-4475
(321) 394-8701
(321) 208-8187
Mailing address
2012 ROLLINS DR, COCOA, FL 32922-5442
(321) 616-1910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH22988
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
02/17/2026
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