Healthcare Provider Details

I. General information

NPI: 1164780300
Provider Name (Legal Business Name): DANIELLE M MANDATO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2012
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 S UNION AVE
ALLIANCE OH
44601-4349
US

IV. Provider business mailing address

1610 S UNION AVE
ALLIANCE OH
44601-4349
US

V. Phone/Fax

Practice location:
  • Phone: 330-356-8256
  • Fax: 330-596-1434
Mailing address:
  • Phone: 330-356-8256
  • Fax: 330-596-1434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.1000334
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.1000334
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: