| Doctor Name: | DANISE S LANCIAULT |
| NPI Number: | 1215986971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP620842 |
| Business Practice Address: | 1108 Hamlet Ln E Neptune Beach, FL - 322663140 |
| Business Phone Number: | 9047256463 |
| Business Fax Number: | 9047245006 |
| Mailing Address: | 1108 Hamlet Ln E, NEPTUNE BEACH |
| State: | FL |
| Postal Code: | 322663140 |
| Phone Number: | 9047256463 |
| Fax Number: | 9047245006 |
| NPI Enumeration Date: | 05/09/2006 |
| NPI Last Update Date: | 07/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | ARNP620842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |