Healthcare Provider Details

I. General information

NPI: 1083541361
Provider Name (Legal Business Name): DANIELLE MECHELL BRASWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 K ST NW
WASHINGTON DC
20006-1602
US

IV. Provider business mailing address

5411 LUCY DR
WALDORF MD
20601-3217
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-0073
  • Fax:
Mailing address:
  • Phone: 240-906-1960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: