Provider Demographics
NPI:1447535026
Name:WILLIAMS, DANIELLE (MED, LPC, LADC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MED, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20326
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73156-0326
Mailing Address - Country:US
Mailing Address - Phone:405-229-3237
Mailing Address - Fax:
Practice Address - Street 1:11212 N MAY AVE STE 107
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-6317
Practice Address - Country:US
Practice Address - Phone:405-229-3237
Practice Address - Fax:405-810-5972
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
758733OtherNATIONAL CERTIFIED COUNSELOR (NCC)
OK1111OtherLICENSED ALCOHOL & DRUG COUNSELOR (LADC/MH)
OK2756OtherADSAC ASSESSOR
OK5258OtherLICENSED PROFESSIONAL COUNSELOR (LPC)
758733OtherNATIONAL CERTIFIED COUNSELOR (NCC)