Provider Demographics
NPI:1396751459
Name:ANTHONY, DANIEL PHILLIP (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:PHILLIP
Last Name:ANTHONY
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DR STE 350
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7248
Mailing Address - Country:US
Mailing Address - Phone:336-887-8979
Mailing Address - Fax:336-887-9344
Practice Address - Street 1:1701 WESTCHESTER DR STE 350
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7248
Practice Address - Country:US
Practice Address - Phone:336-887-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1025101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional