Provider Demographics
NPI:1609052547
Name:FAIGHT-TARRETE, NANCY (LMHC)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:FAIGHT-TARRETE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10621 AIRPORT PULLING ROAD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109
Mailing Address - Country:US
Mailing Address - Phone:239-784-1080
Mailing Address - Fax:
Practice Address - Street 1:10621 AIRPORT PULLING RD N
Practice Address - Street 2:SUITE7
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7333
Practice Address - Country:US
Practice Address - Phone:239-784-1080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 9238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH9238OtherPROFESSIONAL LICENSE