Provider Demographics
NPI:1033781190
Name:HIEBER, DANIELLE Y (CDCA)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:Y
Last Name:HIEBER
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:Y
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7540 NEW WEST RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43617-4200
Mailing Address - Country:US
Mailing Address - Phone:866-203-0308
Mailing Address - Fax:
Practice Address - Street 1:7540 NEW WEST RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-4200
Practice Address - Country:US
Practice Address - Phone:866-203-0308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.184768101YA0400X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health