Provider Demographics
NPI:1083090898
Name:TRAUERNICHT, DANNIELLE FAITH (LPC)
Entity Type:Individual
Prefix:
First Name:DANNIELLE
Middle Name:FAITH
Last Name:TRAUERNICHT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANNIELLE
Other - Middle Name:FAITH
Other - Last Name:DAVIS-TRAUERNICHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1401 S CHEYENNE AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119
Mailing Address - Country:US
Mailing Address - Phone:918-829-2981
Mailing Address - Fax:539-202-0319
Practice Address - Street 1:650 S PEORIA AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4429
Practice Address - Country:US
Practice Address - Phone:918-587-9471
Practice Address - Fax:918-560-1399
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
OK10511101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health