Basic Information
| Provider Information | |||||||||
| NPI: | 1003273186 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAY | ||||||||
| FirstName: | DANIELLE | ||||||||
| MiddleName: | |||||||||
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| Credential: | LPCC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 948 7TH ST APT 6 | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904032774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9493281213 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1849 SAWTELLE BLVD STE 610 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900257013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102646646 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/20/2016 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 12307 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | 12307 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.