Sally Daniels, LPC-S
Individual provider Active NPI Mental Health Counselor · Azle, TX
NPI 1508645847 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1508645847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 16717 (TX)
- Practice address
- 141 W Main St
Azle, TX 76020-3117 - Phone
- (817) 556-1762
- NPI assigned
- Sep 26, 2023
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16717 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 16717 | TX | Yes |
Addresses
Primary practice location
141 W Main St
Azle, TX 76020-3117
Mailing address
226 Private Road 4882
Azle, TX 76020-8844
Phone (817) 556-1762
Other providers in Azle, TX
- CSL Azle 2016, LLC
- CVS Pharmacy Inc
- Carla C Dahms
- Tran Bao Dang
- Lacie Daniel
- David Lindley, DO, PA
- Ila Lindsey Davie
- Amanda Diffie
- Meggan Dimerling
- Kurt Dinkle
All providers in Azle, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. 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.