Provider Demographics
NPI:1154127652
Name:DUMANI, DANIELLE WILLIAMS
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:WILLIAMS
Last Name:DUMANI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 MADONNA RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93405-6551
Mailing Address - Country:US
Mailing Address - Phone:805-704-7229
Mailing Address - Fax:
Practice Address - Street 1:805 MADONNA RD UNIT 102
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-6551
Practice Address - Country:US
Practice Address - Phone:805-704-7229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80159106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist