Provider Demographics
NPI:1598332132
Name:EPIFANIA THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:EPIFANIA THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-847-5169
Mailing Address - Street 1:3607 BUTLER ST APT 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-1871
Mailing Address - Country:US
Mailing Address - Phone:412-847-5169
Mailing Address - Fax:
Practice Address - Street 1:540 N NEVILLE ST STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2853
Practice Address - Country:US
Practice Address - Phone:412-847-2073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty