Provider Demographics
NPI:1457174161
Name:DANIELS, TAUNITA RENEE (MA)
Entity type:Individual
Prefix:
First Name:TAUNITA
Middle Name:RENEE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 E DAYTON YELLOW SPRINGS RD STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-6324
Mailing Address - Country:US
Mailing Address - Phone:937-800-5556
Mailing Address - Fax:
Practice Address - Street 1:1166 E DAYTON YELLOW SPRINGS RD STE 300
Practice Address - Street 2:
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324-6324
Practice Address - Country:US
Practice Address - Phone:937-800-5556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-02
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral