Provider Demographics
NPI:1316078579
Name:DANIELS, ELENIA SHERRILL (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ELENIA
Middle Name:SHERRILL
Last Name:DANIELS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10510 PACES AVE
Mailing Address - Street 2:APT 1318
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5395
Mailing Address - Country:US
Mailing Address - Phone:704-321-2428
Mailing Address - Fax:
Practice Address - Street 1:10510 PACES AVE
Practice Address - Street 2:APT 1318
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5395
Practice Address - Country:US
Practice Address - Phone:704-321-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6457101Y00000X, 101YM0800X, 101YP2500X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool