Provider Demographics
NPI:1225612773
Name:PIECES THAT FIT , LLC.
Entity Type:Organization
Organization Name:PIECES THAT FIT , LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BORZELLINO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:032-232-4462
Mailing Address - Street 1:422 HIGHLAND AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2526
Mailing Address - Country:US
Mailing Address - Phone:203-232-4462
Mailing Address - Fax:
Practice Address - Street 1:422 HIGHLAND AVE STE 216
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2526
Practice Address - Country:US
Practice Address - Phone:203-232-4462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-11
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008041845Medicaid