Healthcare Provider Details

I. General information

NPI: 1083265326
Provider Name (Legal Business Name): DARIUS SOMMERVILLE LMHC-D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CHANDLER ST STE 6
BUFFALO NY
14207-2405
US

IV. Provider business mailing address

540 LINDEN AVE
BUFFALO NY
14216-2730
US

V. Phone/Fax

Practice location:
  • Phone: 716-908-4014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number013775
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: