Provider Demographics
NPI:1225648058
Name:HARRIGAN, DANIEL CONNOLLY (LMHC, LAP)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CONNOLLY
Last Name:HARRIGAN
Suffix:
Gender:M
Credentials:LMHC, LAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 GEORGETOWN DR APT B
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6113
Mailing Address - Country:US
Mailing Address - Phone:407-257-9850
Mailing Address - Fax:
Practice Address - Street 1:401 GEORGETOWN DR APT B
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6113
Practice Address - Country:US
Practice Address - Phone:407-257-9850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8481101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health