Provider Demographics
NPI:1497298137
Name:MCWILLIAMS, DANIELLE (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:MCWILLIAMS
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:PO BOX 22
Mailing Address - Street 2:
Mailing Address - City:CONROY
Mailing Address - State:IA
Mailing Address - Zip Code:52220-0022
Mailing Address - Country:US
Mailing Address - Phone:319-361-3038
Mailing Address - Fax:
Practice Address - Street 1:11TH AVE
Practice Address - Street 2:
Practice Address - City:CONROY
Practice Address - State:IA
Practice Address - Zip Code:52220
Practice Address - Country:US
Practice Address - Phone:319-668-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084148101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0074575Medicaid