Provider Demographics
NPI:1245688746
Name:BATES, DANIEL (LMHC, LPCC, NCC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:BATES
Suffix:
Gender:M
Credentials:LMHC, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 HARTWEG AVE
Mailing Address - Street 2:
Mailing Address - City:FORT THOMAS
Mailing Address - State:KY
Mailing Address - Zip Code:41075-1319
Mailing Address - Country:US
Mailing Address - Phone:360-870-1433
Mailing Address - Fax:
Practice Address - Street 1:1030 MONARCH ST STE 100&200
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1843
Practice Address - Country:US
Practice Address - Phone:859-296-3141
Practice Address - Fax:859-296-3144
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60642558101YM0800X
OH2303283101YP2500X
KY286628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health