Provider Demographics
NPI:1902930498
Name:PIAZZA, ELIZABETH ANN (LPC, LMFT, NCC, MAC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC, MAC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:MANISCALCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMFT, NCC
Mailing Address - Street 1:1325 GEORGIA ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-4009
Mailing Address - Country:US
Mailing Address - Phone:318-469-2721
Mailing Address - Fax:
Practice Address - Street 1:458 HERNDON ST
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4859
Practice Address - Country:US
Practice Address - Phone:318-429-6938
Practice Address - Fax:318-629-2870
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1807101YM0800X, 101YP2500X
LA7347733101YP1600X
LA171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist