Provider Demographics
NPI:1649561317
Name:GALLETTI, ROCHELLE MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ROCHELLE
Middle Name:MARIE
Last Name:GALLETTI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3406 JASMINE DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-5115
Mailing Address - Country:US
Mailing Address - Phone:770-855-3827
Mailing Address - Fax:
Practice Address - Street 1:4691 WINDFALL RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-8705
Practice Address - Country:US
Practice Address - Phone:770-855-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X, 376J00000X, 385H00000X
GALPC0006041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No253Z00000XAgenciesIn Home Supportive Care
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care