Daniles, Melanie

Daniles, Melanie is an individual health care provider with primary practice located at 1370 Berry Street , Jennings FL 32053. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Daniles, Melanie can be contacted via phone (904) 729-8972.

Contact Information

Primary practice address
1370 Berry Street Jennings FL 32053
Phone: (904) 729-8972
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1114651775
LBN Legal business name Daniles, Melanie
Credentials MS COUNSELING
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2022
Last updated Jul 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114651775 NPPES
Florida MEDICAID 100167

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