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NPI Code Detail

MEDICARE: MRS. NANCY FAIGHT-TARRETE LMHC

MEDICARE: MRS. NANCY FAIGHT-TARRETE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMH 9238FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MH9238OTHERFLPROFESSIONAL LICENSE

General Provider Information

NPI Number : 1609052547
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY FAIGHT-TARRETE LMHC
Provider Business Mailing Address
First Line : 10621 AIRPORT PULLING ROAD
Second Line : SUITE 7
City : NAPLES
State : FL
Zip : 34109
Country : US
Telephone Number : 239-784-1080
Fax Number :
Provider Business Practice Location Address
First Line : 10621 AIRPORT PULLING RD N
Second Line : SUITE7
City : NAPLES
State : FL
Zip : 34109-7333
Country : US
Telephone Number : 239-784-1080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 11/23/2010

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