Provider Demographics
NPI:1053650986
Name:TRENTANELLI, ANGALEEN LOUISE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANGALEEN
Middle Name:LOUISE
Last Name:TRENTANELLI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANGALEEN
Other - Middle Name:LOUISE
Other - Last Name:MCCULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2862 DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:BIG FLATS
Mailing Address - State:NY
Mailing Address - Zip Code:14814-9607
Mailing Address - Country:US
Mailing Address - Phone:570-452-0539
Mailing Address - Fax:
Practice Address - Street 1:106 S PERRY ST
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891-1636
Practice Address - Country:US
Practice Address - Phone:607-535-8282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007581101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health