1205446515 NPI number — SABRINA DANIELL PMHNP-BC

Table of content: SABRINA DANIELL PMHNP-BC (NPI 1205446515)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205446515 NPI number — SABRINA DANIELL PMHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DANIELL
Provider First Name:
SABRINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PMHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205446515
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7877 WILLOW CHASE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77070-5934
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-869-4818
Provider Business Mailing Address Fax Number:
832-869-4853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13325 HARGRAVE RD STE 240
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77070-1185
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-869-4818
Provider Business Practice Location Address Fax Number:
832-869-4853
Provider Enumeration Date:
08/03/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  1007351 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4269383-01 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".