Provider Demographics
NPI:1699357236
Name:PIECES2GETHER, LLC
Entity Type:Organization
Organization Name:PIECES2GETHER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KORLU
Authorized Official - Middle Name:
Authorized Official - Last Name:EZIKE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:484-393-1497
Mailing Address - Street 1:1220 SUGARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-2886
Mailing Address - Country:US
Mailing Address - Phone:267-246-2684
Mailing Address - Fax:
Practice Address - Street 1:1220 SUGARBERRY LN
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2886
Practice Address - Country:US
Practice Address - Phone:267-246-2684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-23
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty