Healthcare Provider Details

I. General information

NPI: 1679483705
Provider Name (Legal Business Name): DANIELLE ANNE VITTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 STATE ROUTE 15
LAFAYETTE NJ
07848-3208
US

IV. Provider business mailing address

170 POWELL RD
ALLENDALE NJ
07401-2013
US

V. Phone/Fax

Practice location:
  • Phone: 973-500-8642
  • Fax:
Mailing address:
  • Phone: 201-293-7002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC01001200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: