Healthcare Provider Details

I. General information

NPI: 1497442800
Provider Name (Legal Business Name): DANIELLE JEAN CURTI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 04/18/2023
Certification Date: 04/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 AMISTAD DR
SAINT AUGUSTINE FL
32086-1861
US

IV. Provider business mailing address

104 AMISTAD DR
SAINT AUGUSTINE FL
32086-1861
US

V. Phone/Fax

Practice location:
  • Phone: 904-377-9953
  • Fax:
Mailing address:
  • Phone: 904-377-9953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61088910
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18154
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: