Healthcare Provider Details

I. General information

NPI: 1962335109
Provider Name (Legal Business Name): DANIELLE PUGLIESE LMHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 FOREST AVE
STATEN ISLAND NY
10302-2044
US

IV. Provider business mailing address

1324 FOREST AVE
STATEN ISLAND NY
10302-2044
US

V. Phone/Fax

Practice location:
  • Phone: 718-283-4267
  • Fax:
Mailing address:
  • Phone: 718-283-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: