Provider Demographics
NPI:1629737176
Name:DANIELS, FRANCIS ELOISE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:FRANCIS
Middle Name:ELOISE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 N CHICAGO AVE APT B
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-2592
Mailing Address - Country:US
Mailing Address - Phone:806-441-0808
Mailing Address - Fax:
Practice Address - Street 1:5121 69TH ST STE 121
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1645
Practice Address - Country:US
Practice Address - Phone:806-441-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX76740OtherLICENSED PROFESSIONAL COUNSELOR