Provider Information for 1699296210
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
KAYLA DANIELS LCSW
Sex: Female
NPI: 1699296210
Last Updated: 2021-08-12
Certification Date: 2021-08-12
Certification Date: 2021-08-12
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1699296210 | ||||||||||||||
| Enumeration Date | 2017-07-05 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 2532 STATE ROAD 92 MOUNT HOREB, WI 53572-2446 United States Phone: 608-716-4867 | Fax: | ||||||||||||||
| Primary Practice Address | 222 E FRONT ST MOUNT HOREB, WI 53572-2168 United States Phone: 608-716-4867 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 2500 OVERLOOK TER | ||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|