Provider Demographics
NPI:1073769865
Name:BLEA, DANIELLE ANASTASHIA (T-LMFT)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ANASTASHIA
Last Name:BLEA
Suffix:
Gender:F
Credentials:T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 S. OHIO ST.
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-2117
Mailing Address - Country:US
Mailing Address - Phone:785-825-6224
Mailing Address - Fax:785-827-7895
Practice Address - Street 1:651 E. PRESCOTT
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67402-2117
Practice Address - Country:US
Practice Address - Phone:785-825-7251
Practice Address - Fax:785-825-6887
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS992106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist