Provider Demographics
NPI:1306367545
Name:FIORE, PADIDEH (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:PADIDEH
Middle Name:
Last Name:FIORE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 S ELM DR # 101
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3309
Mailing Address - Country:US
Mailing Address - Phone:818-631-9090
Mailing Address - Fax:
Practice Address - Street 1:129 S ELM DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3309
Practice Address - Country:US
Practice Address - Phone:818-631-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51545106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist