Provider Demographics
NPI:1316689862
Name:CECCHINE, NANCY (LMFT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:CECCHINE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6814 OLD ROYALTON RD APT 1
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1870
Mailing Address - Country:US
Mailing Address - Phone:440-201-9963
Mailing Address - Fax:
Practice Address - Street 1:6814 OLD ROYALTON RD APT 1
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1870
Practice Address - Country:US
Practice Address - Phone:440-201-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHM.2400343106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2871101Medicaid