Healthcare Provider Details

I. General information

NPI: 1487574935
Provider Name (Legal Business Name): DANIELLE TIONNA NUNES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 COMMACK RD STE A
COMMACK NY
11725-5413
US

IV. Provider business mailing address

649 COMMACK RD STE A
COMMACK NY
11725-5413
US

V. Phone/Fax

Practice location:
  • Phone: 516-806-0078
  • Fax:
Mailing address:
  • Phone: 516-806-0078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014776
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: