MEDICARE: VIVIANA IANNUZZI LMHC

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	101YM0800X	Mental Health Counselor	MH24429	FL

General Provider Information

NPI Number	:	1437712148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIANA IANNUZZI LMHC

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9332 STATE ROAD 54 STE 307
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	833-769-3524
Fax Number	:	727-478-4966

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

Provider Enumeration Date	:	04/18/2019
Last Update Date	:	06/01/2026

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