Provider Demographics
NPI:1801301346
Name:DALEY, MICHELLE SARENIA (MA, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:SARENIA
Last Name:DALEY
Suffix:
Gender:
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1763
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75653-1763
Mailing Address - Country:US
Mailing Address - Phone:903-722-2282
Mailing Address - Fax:
Practice Address - Street 1:207 S FRISCO AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-2533
Practice Address - Country:US
Practice Address - Phone:903-722-2282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health