Provider Demographics
NPI:1538848668
Name:LAPIERRE, SIMONE DANZIG (MS MFT-IT)
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:DANZIG
Last Name:LAPIERRE
Suffix:
Gender:F
Credentials:MS MFT-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 E GORHAM ST APT 2
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-1695
Mailing Address - Country:US
Mailing Address - Phone:773-780-8506
Mailing Address - Fax:
Practice Address - Street 1:6702 STONEFIELD RD STE 101
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3875
Practice Address - Country:US
Practice Address - Phone:608-285-2607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI732-228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist