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NPI Code Detail

MEDICARE: DANIELLE ANDERSON

MEDICARE:   DANIELLE  ANDERSON
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
1101YM0800XMental Health Counselor96647TX

General Provider Information

NPI Number : 1548193725
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE ANDERSON
Provider Business Mailing Address
First Line : 201 KISSIMMEE DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-5464
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 KISSIMMEE DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-5464
Country : US
Telephone Number : 817-964-7131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ DANIELLE ANDERSON ” Practice Location

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