Provider Demographics
NPI:1760804140
Name:LANNI, JOSEPH CHRISTY (MA, LLPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHRISTY
Last Name:LANNI
Suffix:
Gender:M
Credentials:MA, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 E KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3745
Mailing Address - Country:US
Mailing Address - Phone:586-291-9704
Mailing Address - Fax:
Practice Address - Street 1:40522 HAYES RD STE 600
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5904
Practice Address - Country:US
Practice Address - Phone:586-260-2404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013072101YP2500X
MIPF0000000779738101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool