Provider Demographics
NPI:1578958849
Name:PELTIER, DANIELLE JOY (LCDC)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:JOY
Last Name:PELTIER
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:MS
Other - First Name:DANI
Other - Middle Name:JOY
Other - Last Name:PELTIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCDC
Mailing Address - Street 1:6699 PORTWEST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-8034
Mailing Address - Country:US
Mailing Address - Phone:214-587-4316
Mailing Address - Fax:
Practice Address - Street 1:6699 PORTWEST DR
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-8034
Practice Address - Country:US
Practice Address - Phone:214-587-4316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12824101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)