Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danielle Lidke-Prow, LPC

Individual provider Mental Health Counselor · NPI 1780315218

Danielle Lidke-Prow, LPC is a Mental Health Counselor in Brunswick, Georgia. Qualified in 2015, 11 years ago. Practices with Gateway Community Service Board, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2022
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

513 Gloucester St
Brunswick, GA 31520-7014
Phone: (912) 289-2497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 Coastal Village Dr, Brunswick, GA 31520-1974 — (912) 554-8500

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC012120 (GA)

Record details

NPI number1780315218
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 24, 2022
Last updated in NPPESJune 24, 2022
Certification dateJune 16, 2022
Mailing address1117 Kings Cross, Brunswick, GA 31525-6822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Gateway Community Service Board — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brunswick