Amy Hanes Daniels, LPC
Individual provider Active NPI Professional Counselor · Theodore, AL
NPI 1164634812 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1164634812
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2441 (AL)
- Practice address
- 5821 Rangeline Rd Ste 214
Theodore, AL 36582-5211 - Phone
- (251) 366-1710
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2441 | AL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Daniels LPC Inc | Current |
Accepting new patients |
Locations
5821 Rangeline Rd
Ste 214
Theodore, AL 36582
Phone (251) 366-1710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2441 | AL | Yes |
Addresses
Primary practice location
5821 Rangeline Rd Ste 214
Theodore, AL 36582-5211
Mailing address
4833 Audubon Dr Ste 214
Mobile, AL 36619-8960
Phone (251) 366-1710
Other practice location 1
4833 Audubon Dr
Mobile, AL 36619-8960
Phone (251) 366-1710
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Mobile | Direct |
Other providers in Theodore, AL
- Frank Christopher Conwell
- Conwells Pharmacy
- Daniel S. Cook
- Amya Crenshaw
- Jennifer Crigger
- Caitlyn Uyen Phuong DO
- Marcus Maurice Dryer
- Phillip Dueitt
- Kim Elizabeth Dyson
- Encore Rehabilitation Inc
All providers in Theodore, AL · Professional Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. 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.