Provider Demographics
NPI:1770032237
Name:REED, DANISHA (LPC)
Entity Type:Individual
Prefix:
First Name:DANISHA
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DANISHA
Other - Middle Name:
Other - Last Name:DEANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DANISHA DEANS, LPC
Mailing Address - Street 1:678 E LAKE FRONT CIR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-3315
Mailing Address - Country:US
Mailing Address - Phone:609-447-2419
Mailing Address - Fax:
Practice Address - Street 1:678 E LAKE FRONT CIR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-3315
Practice Address - Country:US
Practice Address - Phone:609-447-2419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00543700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health