Provider Demographics
NPI:1922534221
Name:FIORA PIZZO LCSW COUNSELING LLC
Entity Type:Organization
Organization Name:FIORA PIZZO LCSW COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TIN OWNER / PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:FIORA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PIZZO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-219-9336
Mailing Address - Street 1:101 W KIRKWOOD AVE
Mailing Address - Street 2:STE. 222
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47404-6129
Mailing Address - Country:US
Mailing Address - Phone:812-219-9336
Mailing Address - Fax:812-676-9351
Practice Address - Street 1:101 W KIRKWOOD AVE
Practice Address - Street 2:STE. 222
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47404-6129
Practice Address - Country:US
Practice Address - Phone:812-219-9336
Practice Address - Fax:812-676-9351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty