Provider Demographics
NPI:1699278911
Name:PRICE, DANIELLE (LPC, AADC, LMHC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:LPC, AADC, LMHC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:BERTHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4507 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-8687
Mailing Address - Country:US
Mailing Address - Phone:484-723-3197
Mailing Address - Fax:
Practice Address - Street 1:4507 LAUREL RIDGE DR
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-8687
Practice Address - Country:US
Practice Address - Phone:301-616-5707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2221101YM0800X
MD14308101YM0800X
WV15-117101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)