DANIEL POOLEY DOMINGUEZ LCMHCA, NCC
NPI 1376408047
Counselor - Mental Health in Winston Salem, NC
Active since December 16, 2025
About Daniel Pooley Dominguez Lcmhca, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL POOLEY DOMINGUEZ LCMHCA, NCC (NPI 1376408047) is an individual mental health provider in Winston Salem, North Carolina, licensed in North Carolina (A22359) and active in the NPI registry since December 2025.
NPPES Registry Identity
NPI1376408047
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDANIEL POOLEY DOMINGUEZCredential: LCMHCA, NCC
Location Address983 MAR DON DRWinston Salem, NC 27104-4624
Mailing Address983 Mar Don DrWinston Salem, NC 27104-4624 · (336) 923-7426 · Fax (704) 625-3617
Phone(336) 923-7426
Fax(704) 625-3617
Sole ProprietorNo
Enumeration DateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1376408047 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A22359
983 MAR DON DR, Winston Salem, NC 27104
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
Counselor (Mental Health)
983 MAR DON DR
WINSTON SALEM, NC 27104
WINSTON SALEM, NC 27104
Counselor (Mental Health)
983 MAR DON DR
WINSTON SALEM, NC 27104
WINSTON SALEM, NC 27104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376408047, enumerated as an "individual" on December 16, 2025.
The provider is located at 983 MAR DON DR WINSTON SALEM, NC 27104 and the phone number is (336) 923-7426.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.