Provider Demographics
NPI:1164057287
Name:COY, DANIELLE ANTAKI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ANTAKI
Last Name:COY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3433 W DALLAS ST APT 1083
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-3840
Mailing Address - Country:US
Mailing Address - Phone:281-928-5131
Mailing Address - Fax:
Practice Address - Street 1:3433 W DALLAS ST APT 1083
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-3840
Practice Address - Country:US
Practice Address - Phone:281-928-5131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX588061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical