Healthcare Provider Details

I. General information

NPI: 1366126260
Provider Name (Legal Business Name): DANIELLE KAY BURMEISTER LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE KAY STEFFA

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 OAK HOLLOW DR STE B
TRAVERSE CITY MI
49686-5924
US

IV. Provider business mailing address

4870 ARBOR GROVE DR
TRAVERSE CITY MI
49685-7266
US

V. Phone/Fax

Practice location:
  • Phone: 231-714-0282
  • Fax:
Mailing address:
  • Phone: 720-877-7360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451022972
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: