Provider Demographics
NPI:1366803355
Name:FORAN, DANIELLE (MA)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:FORAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:URPSIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:5575 S SEMORAN BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-1781
Mailing Address - Country:US
Mailing Address - Phone:321-400-5254
Mailing Address - Fax:407-386-7454
Practice Address - Street 1:5575 S SEMORAN BLVD STE 7
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-1781
Practice Address - Country:US
Practice Address - Phone:321-400-5254
Practice Address - Fax:407-386-7454
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health