Provider Demographics
NPI:1821332818
Name:DANIEL, WILLIAM HOYT SR (BS, LADAC, CAC II)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HOYT
Last Name:DANIEL
Suffix:SR
Gender:M
Credentials:BS, LADAC, CAC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3661 BRAINERD RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-3695
Mailing Address - Country:US
Mailing Address - Phone:423-629-0840
Mailing Address - Fax:423-629-2246
Practice Address - Street 1:3661 BRAINERD RD
Practice Address - Street 2:SUITE 304
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-3695
Practice Address - Country:US
Practice Address - Phone:423-629-0840
Practice Address - Fax:423-629-2246
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000011754101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)