Vivian Daniel
Individual provider Active NPI Mental Health Counselor · Avondale Estates, GA
NPI 1003455338 · NPPES record last updated Jan 3, 2020
Key facts
- NPI
- 1003455338
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 151 Locust St
Avondale Estates, GA 30002-1050 - Phone
- (678) 940-8671
- NPI assigned
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
151 Locust St
Avondale Estates, GA 30002-1050
Mailing address
151 Locust St
Avondale Estates, GA 30002-1050
Other providers in Avondale Estates, GA
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- Craig D. Carter
- Christine Frederick Speech Therapist LLC
- Julia R Codrington
- Karla Coffee-Dunning
- Lucretia Smith Dubose
- Julie K Ellers
- Evelyn Nicole Ellington
- Euim American Tech Systems Inc.
- Michael Fenster
All providers in Avondale Estates, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.