Provider Demographics
NPI:1164652855
Name:WHEELER, DANIELLE E (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:E
Last Name:WHEELER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 S WALDRON RD STE B
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3700
Mailing Address - Country:US
Mailing Address - Phone:864-542-3867
Mailing Address - Fax:
Practice Address - Street 1:2200 S WALDRON RD STE B
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3700
Practice Address - Country:US
Practice Address - Phone:864-542-3867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101YM0800X
ARA0907071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health