Healthcare Provider Details

I. General information

NPI: 1053505305
Provider Name (Legal Business Name): DANIELLE CELESTE DOSKOCIL MSW, MHS, CRC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE CELESTE MALO MSW, MHS, CRC, LPC

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E STONEWALL ST 7TH FLOOR, SUITE 704
CHARLOTTE NC
28202-2778
US

IV. Provider business mailing address

4802 ALDERSBROOK DR
MONROE NC
28110-5639
US

V. Phone/Fax

Practice location:
  • Phone: 407-592-7847
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6569
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6569
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: