MEDICARE: DANELLE FOSTER MS, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	APC005727	GA
2	101YM0800X	Mental Health Counselor	LPC010984	GA

General Provider Information

NPI Number	:	1740725241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANELLE FOSTER MS, LPC

Provider Business Mailing Address
First Line	:	4020 SUGAR VALLEY DR SE
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30094-3822
Country	:	US
Telephone Number	:	770-922-5201
Fax Number	:

Provider Business Practice Location Address
First Line	:	1099 18TH ST STE 2350
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-1936
Country	:	US
Telephone Number	:	844-843-7279
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2016
Last Update Date	:	08/11/2025

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