Healthcare Provider Details

I. General information

NPI: 1902382120
Provider Name (Legal Business Name): DANIELLE MARIE CISNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2018
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 UNION SQ NW STE 301
HICKORY NC
28601-6141
US

IV. Provider business mailing address

246 UNION SQ NW STE 301
HICKORY NC
28601-6141
US

V. Phone/Fax

Practice location:
  • Phone: 828-378-5556
  • Fax:
Mailing address:
  • Phone: 828-378-5556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12988
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12988
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: