Provider Demographics
NPI:1437680980
Name:THOMAS GIGLIOTTI LLC
Entity Type:Organization
Organization Name:THOMAS GIGLIOTTI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GIGLIOTTI
Authorized Official - Suffix:I
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:440-554-6448
Mailing Address - Street 1:1508 LYNDHURST RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2858
Mailing Address - Country:US
Mailing Address - Phone:440-554-6448
Mailing Address - Fax:
Practice Address - Street 1:1508 LYNDHURST RD
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2858
Practice Address - Country:US
Practice Address - Phone:440-554-6448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0005967251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health