Healthcare Provider Details

I. General information

NPI: 1568383594
Provider Name (Legal Business Name): JOCELYN M DALEY MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 BRYANT AVE APT 1K
BRONX NY
10459-2515
US

IV. Provider business mailing address

1107 BRYANT AVE APT 1K
BRONX NY
10459-2515
US

V. Phone/Fax

Practice location:
  • Phone: 646-363-6320
  • Fax:
Mailing address:
  • Phone: 646-363-6320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP142232
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: