Healthcare Provider Details

I. General information

NPI: 1740725241
Provider Name (Legal Business Name): DANELLE FOSTER MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2016
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 18TH ST STE 2350
DENVER CO
80202-1936
US

IV. Provider business mailing address

4020 SUGAR VALLEY DR SE
CONYERS GA
30094-3822
US

V. Phone/Fax

Practice location:
  • Phone: 844-843-7279
  • Fax:
Mailing address:
  • Phone: 770-922-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC005727
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC010984
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: