Provider Demographics
NPI:1508266099
Name:FRIEDMAN, DANIELLE (LMHC, CRC)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10847 CHARLESTON PL
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4908
Mailing Address - Country:US
Mailing Address - Phone:954-588-7475
Mailing Address - Fax:
Practice Address - Street 1:7325 SW 63RD AVE STE 101
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4812
Practice Address - Country:US
Practice Address - Phone:954-588-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-03
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15500101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health