Provider Demographics
NPI:1528882685
Name:LAURENTI, DANIELLE CHRISTINE (LMFT)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:LAURENTI
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2518 34TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4902
Mailing Address - Country:US
Mailing Address - Phone:516-209-8218
Mailing Address - Fax:
Practice Address - Street 1:2518 34TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4902
Practice Address - Country:US
Practice Address - Phone:516-209-8218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist