Provider Demographics
NPI:1124649207
Name:NANNI, GARTH STEEL (LPC)
Entity type:Individual
Prefix:
First Name:GARTH
Middle Name:STEEL
Last Name:NANNI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 W CROOKED HILL RD
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1157
Mailing Address - Country:US
Mailing Address - Phone:201-696-1009
Mailing Address - Fax:
Practice Address - Street 1:57 W CROOKED HILL RD
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1157
Practice Address - Country:US
Practice Address - Phone:201-696-1009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00428500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional