Healthcare Provider Details

I. General information

NPI: 1104381797
Provider Name (Legal Business Name): GIUSEPPE MALFI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E WASHINGTON AVE
MADISON WI
53703-3688
US

IV. Provider business mailing address

114 ARUNDEL DR
ARCHER LODGE NC
27527-6134
US

V. Phone/Fax

Practice location:
  • Phone: 323-205-7088
  • Fax: 833-419-0181
Mailing address:
  • Phone: 920-677-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10680-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12398
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: