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NPI Code Detail

MEDICARE: LISA VITTI LPC

MEDICARE: LISA VITTI LPC
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
1101Y00000XCounselor
2101YP2500XProfessional CounselorC460OR
3101YP2500XProfessional CounselorPC014395PA

General Provider Information

NPI Number : 1700283207
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA VITTI LPC
Provider Business Mailing Address
First Line : 255 S 17TH ST STE 1010
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-6210
Country : US
Telephone Number : 267-507-1310
Fax Number :
Provider Business Practice Location Address
First Line : 255 S 17TH ST STE 1010
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-6210
Country : US
Telephone Number : 267-507-1310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2014
Last Update Date : 04/22/2025

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Directions to “ LISA VITTI LPC” Practice Location

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