Provider Demographics
NPI:1235974205
Name:DAILY, SUSAN TINSLEY (LMHC)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:TINSLEY
Last Name:DAILY
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 1:246 CHESTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9772
Mailing Address - Country:US
Mailing Address - Phone:828-423-3810
Mailing Address - Fax:
Practice Address - Street 1:246 CHESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:LEEDS
Practice Address - State:MA
Practice Address - Zip Code:01053-9772
Practice Address - Country:US
Practice Address - Phone:828-423-3810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health