Healthcare Provider Details

I. General information

NPI: 1063345619
Provider Name (Legal Business Name): DANIELLE NICOLE POLLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 W 30TH ST FL 3
NEW YORK NY
10001-2842
US

IV. Provider business mailing address

247 W 30TH ST FL 3
NEW YORK NY
10001-2842
US

V. Phone/Fax

Practice location:
  • Phone: 646-374-2827
  • Fax:
Mailing address:
  • Phone: 646-374-2827
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: