Provider Demographics
NPI:1457829467
Name:FLORIANOWICZ, IWONA STANISLAWA (LPC; LCPC)
Entity type:Individual
Prefix:
First Name:IWONA
Middle Name:STANISLAWA
Last Name:FLORIANOWICZ
Suffix:
Gender:F
Credentials:LPC; LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13421 S 37TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-4540
Mailing Address - Country:US
Mailing Address - Phone:224-318-7630
Mailing Address - Fax:
Practice Address - Street 1:13421 S 37TH PL
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-4540
Practice Address - Country:US
Practice Address - Phone:224-318-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-07
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23306101Y00000X
IL180015498101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty