Provider Demographics
NPI:1043088958
Name:DANIEL P NELSON LPC PLLC
Entity Type:Organization
Organization Name:DANIEL P NELSON LPC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-994-4064
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:PARTLOW
Mailing Address - State:VA
Mailing Address - Zip Code:22534-0013
Mailing Address - Country:US
Mailing Address - Phone:804-994-4064
Mailing Address - Fax:844-876-6926
Practice Address - Street 1:503 SOPHIA ST STE C
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6078
Practice Address - Country:US
Practice Address - Phone:804-994-4064
Practice Address - Fax:844-876-6926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty