Provider Demographics
NPI:1760077598
Name:SAKACH, DANIELLE (MA, LCPC, NCC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SAKACH
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 S LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4328
Mailing Address - Country:US
Mailing Address - Phone:217-761-4419
Mailing Address - Fax:
Practice Address - Street 1:3001 SPRING MILL DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-6566
Practice Address - Country:US
Practice Address - Phone:217-761-4419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.015369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty