Provider Demographics
NPI:1053087718
Name:YINGLING-ARCHULETA, DANIELLE ANGELA (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ANGELA
Last Name:YINGLING-ARCHULETA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ANGELA
Other - Last Name:YINGLING-ARCHULETA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1740 GRANDE BLVD SE # 87124
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1799
Mailing Address - Country:US
Mailing Address - Phone:505-218-6706
Mailing Address - Fax:
Practice Address - Street 1:1740 GRANDE BLVD SE STE D
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-0300
Practice Address - Country:US
Practice Address - Phone:505-933-4639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCMH0222791101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health