Provider Demographics
NPI:1114080397
Name:SCHAEFER, DANEILE (LPC)
Entity type:Individual
Prefix:
First Name:DANEILE
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANEILE
Other - Middle Name:O'KELLEY
Other - Last Name:SCHAEFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:15 COUSTEAU LANE DANI SCHAEFER
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-3125
Mailing Address - Country:US
Mailing Address - Phone:512-413-0320
Mailing Address - Fax:512-732-0289
Practice Address - Street 1:3807 SPICEWOOD SPRINGS STE 201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-413-0320
Practice Address - Fax:512-732-0289
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7209LCOtherBLUE CROSS BLUE SHIELD