Provider Demographics
NPI:1740708510
Name:TORRETTA, NIKKI (LMHC)
Entity type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:
Last Name:TORRETTA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FRANCINE DR N
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-3617
Mailing Address - Country:US
Mailing Address - Phone:718-928-8905
Mailing Address - Fax:
Practice Address - Street 1:15 FRANCINE DR N
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-3617
Practice Address - Country:US
Practice Address - Phone:718-928-8905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010410101YM0800X
NYP07724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health