Provider Demographics
NPI:1083022461
Name:MANCINI, DANIEL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:MANCINI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 MARTINE AVE STE 220C
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3401
Mailing Address - Country:US
Mailing Address - Phone:914-260-7631
Mailing Address - Fax:
Practice Address - Street 1:277 MARTINE AVE
Practice Address - Street 2:220 C
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-3401
Practice Address - Country:US
Practice Address - Phone:914-260-7631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health