Provider Demographics
NPI:1861980898
Name:LEE-PIETROGALLO, ZONA (LCSW)
Entity type:Individual
Prefix:
First Name:ZONA
Middle Name:
Last Name:LEE-PIETROGALLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E KALISTE SALOOM RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-2540
Mailing Address - Country:US
Mailing Address - Phone:337-504-3802
Mailing Address - Fax:337-210-2461
Practice Address - Street 1:1120 W HUTCHINSON AVE
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4124
Practice Address - Country:US
Practice Address - Phone:337-250-4263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-25
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical