Provider Demographics
NPI:1316198484
Name:PAT CICETTI, LMHC, INC.
Entity Type:Organization
Organization Name:PAT CICETTI, LMHC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CICETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PH D, LMHC
Authorized Official - Phone:561-502-1638
Mailing Address - Street 1:8130 MIMOSA PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-5020
Mailing Address - Country:US
Mailing Address - Phone:561-502-1638
Mailing Address - Fax:561-740-4788
Practice Address - Street 1:115 WOOLBRIGHT ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-5908
Practice Address - Country:US
Practice Address - Phone:561-502-1638
Practice Address - Fax:561-740-4788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH 6454OtherNPI INDIVIDUAL 1215124847