Individual
DANIELLE CHERIE BALLIS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 N INTERSTATE 35 STE 315 PMB 3311, ROUND ROCK, TX 78681-5022
(512) 270-1918
(512) 727-7720
Mailing address
382 LEONA LN, BAY CITY, TX 77414-2096
(512) 270-1918
(512) 727-7720
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
78426
TX
101YM0800X
Mental Health Counselor
Primary
78426
TX
101YP2500X
Professional Counselor
78426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326682196
—
TX
Enumeration date
11/04/2019
Last updated
10/31/2024
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