MEDICARE: MRS. DANIELLE MOREY LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	12180	SC

General Provider Information

NPI Number	:	1134649718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE MOREY LMSW

Provider Business Mailing Address
First Line	:	108 PALMETTO PARK BLVD STE D
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7969
Country	:	US
Telephone Number	:	803-528-8747
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 PALMETTO PARK BLVD STE D
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-7969
Country	:	US
Telephone Number	:	803-528-8747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2017
Last Update Date	:	07/21/2022

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