Provider Demographics
NPI:1376360867
Name:SAKKAL, DANI NOUR
Entity type:Individual
Prefix:
First Name:DANI
Middle Name:NOUR
Last Name:SAKKAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 NW 3RD AVE APT 226
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32603-2303
Mailing Address - Country:US
Mailing Address - Phone:561-654-6615
Mailing Address - Fax:
Practice Address - Street 1:1320 NW 3RD AVE APT 226
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32603-2303
Practice Address - Country:US
Practice Address - Phone:561-654-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health