TINA PISANI LAC
NPI 1174984264
Counselor - Professional in Ridgewood, NJ
Active since March 16, 2016
About Tina Pisani Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA PISANI LAC (NPI 1174984264) is an individual professional provider in Ridgewood, New Jersey, licensed in New Jersey (37AC00249800) and active in the NPI registry since March 2016.
NPPES Registry Identity
NPI1174984264
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTINA PISANICredential: LAC
Location Address174 UNION STRidgewood, NJ 07450-4498
Mailing Address174 Union StRidgewood, NJ 07450-4498 · (201) 652-5114
Phone(201) 652-5114
Sole ProprietorNo
Enumeration DateMarch 16, 2016
✔ NPI 1174984264 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00249800
174 UNION ST, Ridgewood, NJ 07450
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174984264, enumerated as an "individual" on March 16, 2016.
The provider is located at 174 UNION ST RIDGEWOOD, NJ 07450 and the phone number is (201) 652-5114.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
