Provider Demographics
NPI:1992214399
Name:DANIELLE CHAPMAN LMFT LLC
Entity Type:Organization
Organization Name:DANIELLE CHAPMAN LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:T-LMFT
Authorized Official - Phone:316-448-9511
Mailing Address - Street 1:2124 N RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2515
Mailing Address - Country:US
Mailing Address - Phone:316-448-9511
Mailing Address - Fax:
Practice Address - Street 1:964 N TYLER RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3240
Practice Address - Country:US
Practice Address - Phone:316-448-9511
Practice Address - Fax:316-448-9511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2017-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2910106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty