Provider Demographics
NPI:1750031993
Name:PETERS, DANIELLE E (LPC-MHSP (TEMP))
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:E
Last Name:PETERS
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HOLIDAY CT STE 2
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3000
Mailing Address - Country:US
Mailing Address - Phone:615-497-7424
Mailing Address - Fax:
Practice Address - Street 1:109 HOLIDAY CT STE 2
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3000
Practice Address - Country:US
Practice Address - Phone:615-497-7424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5752101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health