Provider Demographics
NPI:1568279511
Name:MORGAN, DANIELLE RENEE (LPC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RENEE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 PARK VALLEI LN
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:19015-3323
Mailing Address - Country:US
Mailing Address - Phone:347-495-4978
Mailing Address - Fax:
Practice Address - Street 1:71 PARK VALLEI LN
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:PA
Practice Address - Zip Code:19015-3323
Practice Address - Country:US
Practice Address - Phone:347-495-4978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC018058101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional