Provider Demographics
NPI:1770368441
Name:MELANIE DANIELOWICZ, LLC
Entity type:Organization
Organization Name:MELANIE DANIELOWICZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-483-7781
Mailing Address - Street 1:2322 ROBERTS LN
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-1275
Mailing Address - Country:US
Mailing Address - Phone:256-483-7781
Mailing Address - Fax:
Practice Address - Street 1:327 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-6803
Practice Address - Country:US
Practice Address - Phone:256-415-5662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)