Provider Demographics
NPI:1346770815
Name:AZARAEV, DANIELA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:
Last Name:AZARAEV
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 BEEKMAN ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1891
Mailing Address - Country:US
Mailing Address - Phone:347-464-1330
Mailing Address - Fax:
Practice Address - Street 1:80 BEEKMAN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1891
Practice Address - Country:US
Practice Address - Phone:347-464-1330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-15
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health