DANIELLE MCCORD MICKELONIS LCMHC LCAS NPI 1265069363

NPI Information

NPI: 1265069363
Provider Name: DANIELLE MCCORD MICKELONIS, LCMHC, LCAS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 343-0145
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Danielle Mccord Mickelonis, LCMHC, LCAS is a professional counselor in Wilmington, NC. Danielle Mccord Mickelonis, LCMHC, LCAS NPI is 1265069363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

615 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-431
Phone: (910) 343-0145
Fax: (910) 341-5779

The enumeration date for this NPI number is 3/26/2020 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCAS-26121	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	A15675	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health	15675	NORTH CAROLINA	No
4	101YP2500X	Counselor	Professional	15675	NORTH CAROLINA	No
5	101YP2500X	Counselor	Professional	A15675	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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