Daniels Discovery Dynamics, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

5468 Issued in SC

Legal business name

DANIELS DISCOVERY DYNAMICS, LLC

Practice address

1803 Cherokee Rd
Florence, SC 29501-4184

Phone

(843) 661-6030

Fax

(843) 679-2633

NPI assigned

Jun 26, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prezillic Daniels, MA, LPC, RPT

Title

Owner/Counselor

Phone

(843) 661-6030

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1376958546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030",
            "fax_number": "843-679-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CHEROKEE RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014184",
            "telephone_number": "843-661-6030",
            "fax_number": "843-679-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIELS DISCOVERY DYNAMICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "PREZILLIC",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "843-661-6030",
        "authorized_official_credential": "MA, LPC, RPT"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "SC",
            "license": "5468",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "SC",
            "license": "5468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1260",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan R Dail
• Daily Living Adc of Florence LLC
• Coreen Dalrymple, PHARMD
• Dan H Allen PHD PA
• Daniel & Max, LLC
• Hope Daniels
• Jasmine Daniels, ABO, LDO
• Prezillic Daniels, MA, LPC/I
• Valerie Janet Daniels, DO
• India A Dargan

• Exclusive Provider Organization in Florence, SC
• Providers in Florence, SC by specialty
• Exclusive Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.