| Breathing Room Therapy Pllc | |
|
3303 E Baseline Rd Ste 109 Gilbert AZ 85234-2739 | |
| (480) 233-3720 | |
| (480) 559-9701 |
| Full Name | Breathing Room Therapy Pllc |
|---|---|
| Speciality | Counselor |
| Location | 3303 E Baseline Rd Ste 109, Gilbert, Arizona |
| Authorized Official Name and Position | Liza Gianetto (OWNER/COUNSELOR) |
| Authorized Official Contact | 4802333720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathing Room Therapy Pllc 3303 E Baseline Rd Ste 109 Gilbert AZ 85234-2739 Ph: (480) 233-3720 | Breathing Room Therapy Pllc 3303 E Baseline Rd Ste 109 Gilbert AZ 85234-2739 Ph: (480) 233-3720 |
| NPI Number | 1023839354 |
|---|---|
| Provider Enumeration Date | 10/19/2024 |
| Last Update Date | 10/19/2024 |
| Certification Date | 10/19/2024 |
| Medicare PECOS PAC ID | 1254867088 |
|---|---|
| Medicare Enrollment ID | O20241204000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023839354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Liza Gianetto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083855878 PECOS PAC ID: 2163958992 Enrollment ID: I20241204000657 |
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