Healthcare Provider Details

I. General information

NPI: 1487593331
Provider Name (Legal Business Name): DANIELLE VELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 NORTH RD SUITE 3450 SUITE 3450
SUDBURY MA
01776
US

IV. Provider business mailing address

144 NORTH RD SUITE 3450
SUDBURY MA
01776
US

V. Phone/Fax

Practice location:
  • Phone: 978-233-3054
  • Fax:
Mailing address:
  • Phone: 978-233-3054
  • 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: