MEDICARE: ISABELLA ADRIANA LOFFA

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	101Y00000X	Counselor		GA

General Provider Information

NPI Number	:	1699612218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA ADRIANA LOFFA

Provider Business Mailing Address
First Line	:	5103 CAPTAIN DR
Second Line	:
City	:	GROVETOWN
State	:	GA
Zip	:	30813-1272
Country	:	US
Telephone Number	:	786-738-1066
Fax Number	:

Provider Business Practice Location Address
First Line	:	3730 WASHINGTON RD
Second Line	:
City	:	AUGUSTA
State	:	GA
Zip	:	30907-4196
Country	:	US
Telephone Number	:	706-471-0603
Fax Number	:

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

Provider Enumeration Date	:	05/01/2026
Last Update Date	:	05/01/2026

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