Provider Demographics
NPI:1538207121
Name:PIANO, MARIANNE ELIZABETH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:ELIZABETH
Last Name:PIANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1680 SW BAYSHORE BLVD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34984-3500
Mailing Address - Country:US
Mailing Address - Phone:772-878-0094
Mailing Address - Fax:772-344-9010
Practice Address - Street 1:1680 SW BAYSHORE BLVD
Practice Address - Street 2:SUITE 222
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34984-3500
Practice Address - Country:US
Practice Address - Phone:772-878-0094
Practice Address - Fax:772-344-9010
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2826101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health