Healthcare Provider Details

I. General information

NPI: 1871905067
Provider Name (Legal Business Name): RYANNE GATTI LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2014
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1153 MAIN ST
COVENTRY CT
06238-3115
US

IV. Provider business mailing address

600 ANDREWS WAY APT 303
SOUTH WINDSOR CT
06074-9618
US

V. Phone/Fax

Practice location:
  • Phone: 860-368-0124
  • Fax:
Mailing address:
  • Phone: 661-992-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002395
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: