Organization
WOUNDED HEALERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RENEE PACITTI LMHC (SOLE PROPRIETOR/LMHC)
(716) 499-6418
Entity
Organization
Contact information
Practice address
2115 PECK SETTLEMENT RD, JAMESTOWN, NY 14701-9262
(716) 499-6418
(716) 306-4819
Mailing address
2115 PECK SETTLEMENT RD, JAMESTOWN, NY 14701-9262
(716) 499-6418
(716) 306-4819
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841926185
LMHC
NY
Enumeration date
04/22/2024
Last updated
04/29/2024
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