Healthcare Provider Details

I. General information

NPI: 1851639850
Provider Name (Legal Business Name): DANIEL HOULF LLMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 01/28/2020
Certification Date: 01/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7031 TAFT ST
HOLLYWOOD FL
33024-3864
US

IV. Provider business mailing address

17421 TELEGRAPH RD
DETROIT MI
48219-3165
US

V. Phone/Fax

Practice location:
  • Phone: 954-276-0820
  • Fax: 954-985-0382
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801094775
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: