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1053505305 NPI number — DANIELLE CELESTE DOSKOCIL MSW, MHS, CRC, LPC

NPI Number: 1053505305
Health Care Provider/Practitioner: DANIELLE CELESTE DOSKOCIL MSW, MHS, CRC, LPC

Information about “1053505305” NPI (DANIELLE CELESTE DOSKOCIL MSW, MHS, CRC, LPC) exists in 1053505305 in HTML format HTML  |  1053505305 in plain Text format TXT  |  1053505305 in PDF (Portable Document Format) PDF  |  1053505305 in an XML format XML  formats.

NPI Number : 1053505305 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053505305",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DOSKOCIL",
    "FirstName": "DANIELLE",
    "MiddleName": "CELESTE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MSW, MHS, CRC, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MALO",
    "OtherFirstName": "DANIELLE",
    "OtherMiddleName": "CELESTE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MSW, MHS, CRC, LPC",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4802 ALDERSBROOK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MONROE",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "28110-5639",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "700 E STONEWALL ST",
    "SecondLinePracticeLocationAddress": "7TH FLOOR, SUITE 704",
    "PracticeLocationAddressCityName": "CHARLOTTE",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28202-2778",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-592-7847",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/29/2007",
    "LastUpdateDate": "12/19/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "6569",
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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