Healthcare Provider Details

I. General information

NPI: 1255263794
Provider Name (Legal Business Name): DANIELLA COTTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7208 BRICE KNOLL LN APT 215
CHARLOTTE NC
28269-2896
US

IV. Provider business mailing address

7208 BRICE KNOLL LN APT 215
CHARLOTTE NC
28269-2896
US

V. Phone/Fax

Practice location:
  • Phone: 704-728-6206
  • Fax:
Mailing address:
  • Phone: 704-728-6206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA21633
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: