Provider Demographics
NPI:1114080298
Name:PIAZZA, PAULA TRIBBLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:TRIBBLE
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 OFFICE PARK DR
Mailing Address - Street 2:SUITE 218
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2417
Mailing Address - Country:US
Mailing Address - Phone:205-879-9030
Mailing Address - Fax:205-975-9520
Practice Address - Street 1:402 OFFICE PARK DR
Practice Address - Street 2:SUITE 218
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2417
Practice Address - Country:US
Practice Address - Phone:205-879-9030
Practice Address - Fax:205-975-9520
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL501101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional