Healthcare Provider Details

I. General information

NPI: 1205385135
Provider Name (Legal Business Name): DANIELLE OJEABULU LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 12/04/2020
Certification Date: 12/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20138 WEDGEWOOD GROVE LN
CYPRESS TX
77433-0253
US

IV. Provider business mailing address

8901 BARKER CYPRESS RD STE 1900
CYPRESS TX
77433
US

V. Phone/Fax

Practice location:
  • Phone: 832-856-8585
  • Fax:
Mailing address:
  • Phone: 832-856-8585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number79157
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: