Provider Demographics
NPI:1477433134
Name:SKELLY, DANIELLE MARIE (LMFTA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:SKELLY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 W PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2512
Mailing Address - Country:US
Mailing Address - Phone:910-875-5590
Mailing Address - Fax:910-875-5008
Practice Address - Street 1:1295 OLD US 1 HWY STE B
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-6344
Practice Address - Country:US
Practice Address - Phone:910-725-0211
Practice Address - Fax:910-725-0301
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-04
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20852A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist