Basic Information
Provider Information
NPI: 1811521206
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REED
FirstName: DANIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 228 ROUTE 376 APT F14
Address2:  
City: HOPEWELL JUNCTION
State: NY
PostalCode: 125336095
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 21 OLD ROUTE 6
Address2:  
City: CARMEL
State: NY
PostalCode: 105122107
CountryCode: US
TelephoneNumber: 8452255202
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/25/2020
LastUpdateDate: 05/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400X  Y Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)

No ID Information.


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