Provider Demographics
NPI:1366126260
Name:BURMEISTER, DANIELLE KAY (LLPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:KAY
Last Name:BURMEISTER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:KAY
Other - Last Name:STEFFA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4870 ARBOR GROVE DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49685-7266
Mailing Address - Country:US
Mailing Address - Phone:720-877-7360
Mailing Address - Fax:
Practice Address - Street 1:1844 OAK HOLLOW DR STE B
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-5924
Practice Address - Country:US
Practice Address - Phone:231-714-0282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health