Provider Demographics
NPI:1477736379
Name:PACITTI, LILIANA (LPC)
Entity Type:Individual
Prefix:MS
First Name:LILIANA
Middle Name:
Last Name:PACITTI
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 1:17097 17 MILE RD
Mailing Address - Street 2:STE 209
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-2919
Mailing Address - Country:US
Mailing Address - Phone:586-604-5361
Mailing Address - Fax:
Practice Address - Street 1:17097 17 MILE RD
Practice Address - Street 2:STE 209
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-2919
Practice Address - Country:US
Practice Address - Phone:586-604-5361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-13
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009172101YM0800X, 101YP2500X
MI264769101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool