Provider Demographics
NPI:1972793313
Name:DANIEL, CELINE ACYNTHA (LMHC)
Entity type:Individual
Prefix:
First Name:CELINE
Middle Name:ACYNTHA
Last Name:DANIEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 26TH ST W STE A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1708
Mailing Address - Country:US
Mailing Address - Phone:941-267-0062
Mailing Address - Fax:
Practice Address - Street 1:4901 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1708
Practice Address - Country:US
Practice Address - Phone:941-267-0062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH23469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health