Provider Demographics
NPI:1407441447
Name:SANDY, DANIELLE ELAINE (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELAINE
Last Name:SANDY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18530 HUNTERS MEADOW WALK
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-0044
Mailing Address - Country:US
Mailing Address - Phone:813-360-6568
Mailing Address - Fax:
Practice Address - Street 1:18530 HUNTERS MEADOW WALK
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-0044
Practice Address - Country:US
Practice Address - Phone:813-360-6568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11029101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty