Provider Demographics
NPI:1710541446
Name:HALE, DANIKA RENEE (ALC)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:RENEE
Last Name:HALE
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:MS
Other - First Name:DANIKA
Other - Middle Name:RENEE
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ALC
Mailing Address - Street 1:2701 HACKBERRY RD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3913
Mailing Address - Country:US
Mailing Address - Phone:334-590-6286
Mailing Address - Fax:
Practice Address - Street 1:1728 5TH AVE N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-2023
Practice Address - Country:US
Practice Address - Phone:205-502-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC2996A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health