Provider Demographics
NPI:1205372786
Name:REDMAN, DANIELLE (PLMHP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:REDMAN
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 W 2ND ST
Mailing Address - Street 2:SUITE 375
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-5413
Mailing Address - Country:US
Mailing Address - Phone:308-210-8487
Mailing Address - Fax:844-270-3685
Practice Address - Street 1:1811 W 2ND ST
Practice Address - Street 2:SUITE 375
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-5413
Practice Address - Country:US
Practice Address - Phone:308-210-8487
Practice Address - Fax:844-270-3685
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health