Provider Demographics
NPI:1871848051
Name:MCDANIEL'S CONSULTING & COUNSELING, INC.
Entity Type:Organization
Organization Name:MCDANIEL'S CONSULTING & COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, BCTMH, CCF
Authorized Official - Phone:912-349-0030
Mailing Address - Street 1:PO BOX 16131
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2831
Mailing Address - Country:US
Mailing Address - Phone:912-349-0030
Mailing Address - Fax:912-234-1143
Practice Address - Street 1:130 TIBET AVE APT 107
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-9029
Practice Address - Country:US
Practice Address - Phone:912-349-0300
Practice Address - Fax:912-349-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005493101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GALPC005493OtherSTATE LICENSE NUMBER
GA461172523AMedicaid
GA461172523AMedicaid