Provider Demographics
NPI:1174223507
Name:SZENESZI NODINE, DANIELA (MS)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:SZENESZI NODINE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:
Other - Last Name:SCHRAMM SZENESZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 HIBISCUS ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-2651
Mailing Address - Country:US
Mailing Address - Phone:904-307-2602
Mailing Address - Fax:
Practice Address - Street 1:3148 LITTLE KERN LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32226-2169
Practice Address - Country:US
Practice Address - Phone:904-307-2602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21840101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health