Provider Demographics
NPI:1871486209
Name:PADILLA, DANIELLE LEE (LPC-A)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LEE
Last Name:PADILLA
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16486 FM 463
Mailing Address - Street 2:
Mailing Address - City:LYTLE
Mailing Address - State:TX
Mailing Address - Zip Code:78052-4588
Mailing Address - Country:US
Mailing Address - Phone:210-753-7906
Mailing Address - Fax:
Practice Address - Street 1:16486 FM 463
Practice Address - Street 2:
Practice Address - City:LYTLE
Practice Address - State:TX
Practice Address - Zip Code:78052-4588
Practice Address - Country:US
Practice Address - Phone:210-753-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health