Provider Demographics
NPI:1235701533
Name:PIANIN, ALISSA MARCIA (MS, CCM, CBIS, CCC-A)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:MARCIA
Last Name:PIANIN
Suffix:
Gender:F
Credentials:MS, CCM, CBIS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10455 ELGIN AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1503
Mailing Address - Country:US
Mailing Address - Phone:248-320-8114
Mailing Address - Fax:248-671-0809
Practice Address - Street 1:10455 ELGIN AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1503
Practice Address - Country:US
Practice Address - Phone:248-320-8114
Practice Address - Fax:248-671-0809
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator