Healthcare Provider Details

I. General information

NPI: 1629262167
Provider Name (Legal Business Name): ELIZABETH FIORELLO-DIPIETRO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2007
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 PLEASANT VALLEY ST STE 1-206
METHUEN MA
01844-5855
US

IV. Provider business mailing address

184 PLEASANT VALLEY ST STE 1-206
METHUEN MA
01844-5855
US

V. Phone/Fax

Practice location:
  • Phone: 978-683-0133
  • Fax: 978-683-9818
Mailing address:
  • Phone: 978-683-0133
  • Fax: 978-683-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7081
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: