Provider Demographics
NPI:1568404184
Name:OCCHETTI, ARMAND E (LCSW;LMFT;CGP)
Entity Type:Individual
Prefix:MR
First Name:ARMAND
Middle Name:E
Last Name:OCCHETTI
Suffix:
Gender:M
Credentials:LCSW;LMFT;CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 CARRIAGE TRL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8406
Mailing Address - Country:US
Mailing Address - Phone:919-848-9442
Mailing Address - Fax:
Practice Address - Street 1:6512 SIX FORKS RD
Practice Address - Street 2:STE 202A
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6561
Practice Address - Country:US
Practice Address - Phone:919-846-9142
Practice Address - Fax:919-846-9451
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0003911041C0700X
NC008106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60-02112Medicaid
NC63694OtherBCBS ID NO.
NC63694OtherBCBS ID NO.