Healthcare Provider Details

I. General information

NPI: 1447034566
Provider Name (Legal Business Name): DANIELLE MARGARET PATE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 FAIRGROVE AVE
HAMILTON OH
45011-1966
US

IV. Provider business mailing address

PO BOX 645540
CINCINNATI OH
45264-5540
US

V. Phone/Fax

Practice location:
  • Phone: 513-785-4895
  • Fax: 513-785-4896
Mailing address:
  • Phone: 513-887-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2406424
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: