MEDICARE: DANYELL AUSTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1487597225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYELL AUSTIN

Provider Business Mailing Address
First Line	:	1406 S 59TH ST UPPR
Second Line	:
City	:	WEST ALLIS
State	:	WI
Zip	:	53214-5121
Country	:	US
Telephone Number	:	414-334-4448
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616-2618 W GREENFIELD AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204
Country	:	US
Telephone Number	:	414-210-4455
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

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Directions to “ DANYELL AUSTIN ” Practice Location

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