Provider Demographics
NPI:1780318691
Name:DANIELS, HENRY HINTON JR (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:HINTON
Last Name:DANIELS
Suffix:JR
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5617 WHISPERING PINES RD
Mailing Address - Street 2:
Mailing Address - City:CASCADE
Mailing Address - State:VA
Mailing Address - Zip Code:24069-3827
Mailing Address - Country:US
Mailing Address - Phone:276-732-4383
Mailing Address - Fax:
Practice Address - Street 1:300 FRANKLIN ST STE 226
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-2163
Practice Address - Country:US
Practice Address - Phone:276-732-4383
Practice Address - Fax:276-622-3624
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011617101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty