Provider Demographics
NPI:1487885455
Name:STILLEY, DANIELLE MARIE (RN, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:STILLEY
Suffix:
Gender:F
Credentials:RN, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 S MAIN ST STE 202A
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-5348
Mailing Address - Country:US
Mailing Address - Phone:774-333-2077
Mailing Address - Fax:
Practice Address - Street 1:371 S MAIN ST
Practice Address - Street 2:SUITE 201 A
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-5348
Practice Address - Country:US
Practice Address - Phone:774-319-3947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2022-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2320826163W00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163W00000XNursing Service ProvidersRegistered Nurse