Provider Demographics
NPI:1881333490
Name:DANIELS, ERIN BETH (MA, ATR, LCAT, LMHP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:BETH
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MA, ATR, LCAT, LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 CHINA RD
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1413
Mailing Address - Country:US
Mailing Address - Phone:516-819-0773
Mailing Address - Fax:
Practice Address - Street 1:438 CHINA RD
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1413
Practice Address - Country:US
Practice Address - Phone:516-819-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001683-01101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional