Provider Demographics
NPI:1578933933
Name:SCHALK, DANIELLE (TLMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SCHALK
Suffix:
Gender:F
Credentials:TLMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 N 16TH ST
Mailing Address - Street 2:CLARINDA ACADEMY
Mailing Address - City:CLARINDA
Mailing Address - State:IA
Mailing Address - Zip Code:51632-1165
Mailing Address - Country:US
Mailing Address - Phone:712-542-3103
Mailing Address - Fax:
Practice Address - Street 1:1820 N 16TH ST
Practice Address - Street 2:CLARINDA ACADEMY
Practice Address - City:CLARINDA
Practice Address - State:IA
Practice Address - Zip Code:51632-1165
Practice Address - Country:US
Practice Address - Phone:712-542-3103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health