Provider Demographics
NPI:1659647212
Name:HARRIS, DANIELLE ALEXANDRA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:ALEXANDRA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:ALEXANDRA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1659 MERRIMAC TRAIL
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185
Mailing Address - Country:US
Mailing Address - Phone:757-345-2985
Mailing Address - Fax:757-253-4379
Practice Address - Street 1:1659 MERRIMAC TRAIL
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185
Practice Address - Country:US
Practice Address - Phone:757-345-2985
Practice Address - Fax:757-253-4379
Is Sole Proprietor?:No
Enumeration Date:2012-03-28
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005200101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor