Provider Demographics
NPI:1841416187
Name:MARTENEY, GIGI MARIE (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:GIGI
Middle Name:MARIE
Last Name:MARTENEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13342 W MARLETTE CT
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-5378
Mailing Address - Country:US
Mailing Address - Phone:623-261-3171
Mailing Address - Fax:623-930-8752
Practice Address - Street 1:14122 W MCDOWELL
Practice Address - Street 2:SUITE 103C
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340
Practice Address - Country:US
Practice Address - Phone:623-261-3171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC -2540101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health