Provider Demographics
NPI:1780104893
Name:SULLIVAN, DANIELLE DEBORAH (LMHC)
Entity type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:DEBORAH
Last Name:SULLIVAN
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 1:249 CONLYN AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3151
Mailing Address - Country:US
Mailing Address - Phone:774-278-0346
Mailing Address - Fax:
Practice Address - Street 1:249 CONLYN AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3151
Practice Address - Country:US
Practice Address - Phone:774-278-0346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-21
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA10004755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health