Healthcare Provider Details

I. General information

NPI: 1073020624
Provider Name (Legal Business Name): ANNE GATTI LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W MARKET ST
AKRON OH
44303-1016
US

IV. Provider business mailing address

885 EAST BUCHTEL AVENUE
AKRON OH
44309-1501
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-2225
  • Fax: 330-375-6414
Mailing address:
  • Phone: 330-535-8116
  • Fax: 330-996-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.0000277-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: