Healthcare Provider Details

I. General information

NPI: 1336985944
Provider Name (Legal Business Name): VICTORIA GRACE DANIELS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1708 COIT RD STE 210
PLANO TX
75075-5025
US

IV. Provider business mailing address

1708 COIT RD STE 210
PLANO TX
75075-5025
US

V. Phone/Fax

Practice location:
  • Phone: 469-253-5877
  • Fax:
Mailing address:
  • Phone: 469-395-8454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number86734
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: