Provider Demographics
NPI:1700517604
Name:KONSKY, DANIELLE FAYE (LMHC)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:FAYE
Last Name:KONSKY
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 1:67 WALL ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3107
Mailing Address - Country:US
Mailing Address - Phone:908-692-2601
Mailing Address - Fax:
Practice Address - Street 1:580 5TH AVE STE 820
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4762
Practice Address - Country:US
Practice Address - Phone:908-692-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP116269OtherOOP