Provider Demographics
NPI:1780664672
Name:SACCHINI, MARCY A (LPCC AND LICDC)
Entity Type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:A
Last Name:SACCHINI
Suffix:
Gender:F
Credentials:LPCC AND LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7065 BRIDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:44077-9591
Mailing Address - Country:US
Mailing Address - Phone:440-350-1964
Mailing Address - Fax:440-350-1364
Practice Address - Street 1:508 MENTOR AVE
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-2628
Practice Address - Country:US
Practice Address - Phone:440-357-7762
Practice Address - Fax:440-350-1364
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1127101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
7002072OtherAETNA BEH HEALTH
000000132949OtherANTHEM BCBS