Provider Demographics
NPI:1225433790
Name:GIANNELLI, MADELINE (LMHC)
Entity Type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:GIANNELLI
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 1:34 S BROADWAY STE 206
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4431
Mailing Address - Country:US
Mailing Address - Phone:914-358-1186
Mailing Address - Fax:917-677-6605
Practice Address - Street 1:34 S BROADWAY STE 206
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4431
Practice Address - Country:US
Practice Address - Phone:914-358-1186
Practice Address - Fax:917-677-6605
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2635101YM0800X
NY18006419101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health