Organization
AMY DANIELS LPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY HANES DANIELS LPC (LICENSED PROFESSIONAL COUNSELOR)
(251) 366-1710
Entity
Organization
Contact information
Practice address
826 LAKESIDE DR STE D, MOBILE, AL 36693-5124
(251) 366-1710
Mailing address
4833 AUDUBON DR, MOBILE, AL 36619-8960
(251) 366-1710
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164634812
LICENSED PROFESSIONAL COUNSELOR
—
Enumeration date
01/22/2021
Last updated
01/22/2021
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