Provider Demographics
NPI:1881865822
Name:GANCI, PHILIP JOSEPH (LMFT)
Entity type:Individual
Prefix:
First Name:PHILIP
Middle Name:JOSEPH
Last Name:GANCI
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 FULMAR PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-7994
Mailing Address - Country:US
Mailing Address - Phone:716-713-5926
Mailing Address - Fax:
Practice Address - Street 1:104 FULMAR PL
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-7994
Practice Address - Country:US
Practice Address - Phone:716-713-5926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT3065106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist