MEDICARE: ALISSA MARCIA PIANIN MS, CCM, CBIS, CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1235701533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA MARCIA PIANIN MS, CCM, CBIS, CCC-A

Provider Business Mailing Address
First Line	:	10455 ELGIN AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1503
Country	:	US
Telephone Number	:	248-320-8114
Fax Number	:	248-671-0809

Provider Business Practice Location Address
First Line	:	10455 ELGIN AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1503
Country	:	US
Telephone Number	:	248-320-8114
Fax Number	:	248-671-0809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2021
Last Update Date	:	07/15/2021

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