Mrs. Danielle L Forma
Counselor, Mental Health in Trumbull, Connecticut
1407323512- Practice location
- 19 Topaz Ln, Trumbull, CT 06611-3211
- Phone
- 203-610-0754
- Fax
- —
- Last updated
- May 16, 2021
Danielle Lauren Forma is a Counselor, Mental Health based in Trumbull, CT. Danielle Lauren Forma practices in Trumbull, CT. The NPI Number for Danielle Lauren Forma is 1407323512 and holds a License No. 4881 (CT). The current practice location address for Danielle Lauren Forma is 19 Topaz Ln, Trumbull, CT 06611-3211 and can be reached out via phone at 203-610-0754.
Provider Profile Details
- NPI Number
- 1407323512
- Provider Name
- Danielle Lauren Forma
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Topaz Ln, Trumbull, CT 06611-3211
- Phone Number
- 203-610-0754
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2018
- Last Update Date
- May 16, 2021
- Certification Date
- May 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Topaz Ln
Trumbull, CT 06611-3211 - City
- Trumbull
- State
- Connecticut
- Zip
- 06611-3211
- Phone Number
- 203-610-0754
Provider Business Mailing Address Details
- Address
- 19 Topaz Ln
Trumbull, CT 06611-3211 - City
- Trumbull
- State
- CT
- Zip
- 06611-3211
- Phone Number
- 032-610-0754
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 4881
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Danielle L Forma?
The NPI number of Mrs. Danielle L Forma is 1407323512. It was assigned on October 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Danielle L Forma?
Mrs. Danielle L Forma is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 4881.
Where does Mrs. Danielle L Forma practice?
The practice location is 19 Topaz Ln, Trumbull, CT 06611-3211. The office can be reached at 203-610-0754 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407323512 directly on the NPPES registry website.