Provider Demographics
NPI:1912441056
Name:KING, DANIEL ERWIN (LCDC-III)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ERWIN
Last Name:KING
Suffix:
Gender:M
Credentials:LCDC-III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N FRONT ST STE 510
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-3376
Mailing Address - Country:US
Mailing Address - Phone:614-372-3110
Mailing Address - Fax:
Practice Address - Street 1:81 S 5TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4325
Practice Address - Country:US
Practice Address - Phone:614-362-4862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDCIII.162187101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)