Provider Demographics
NPI:1023205168
Name:HEIST, DANIELLE TAYLOR (MS, LPC, CAADC, SAP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:TAYLOR
Last Name:HEIST
Suffix:
Gender:F
Credentials:MS, LPC, CAADC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3703 SKIPTON CIR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4420
Mailing Address - Country:US
Mailing Address - Phone:717-873-6207
Mailing Address - Fax:717-467-4077
Practice Address - Street 1:1600 6TH AVE STE 103
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2626
Practice Address - Country:US
Practice Address - Phone:717-873-6207
Practice Address - Fax:717-467-4077
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6731101YA0400X
PAPC004576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)