Provider Demographics
NPI:1316664105
Name:LIRIANO THERAPY LLC
Entity type:Organization
Organization Name:LIRIANO THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRICILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRIANO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-734-2777
Mailing Address - Street 1:173 MCELMURRAY RD
Mailing Address - Street 2:
Mailing Address - City:BEECH ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29842-8380
Mailing Address - Country:US
Mailing Address - Phone:786-734-2777
Mailing Address - Fax:
Practice Address - Street 1:173 MCELMURRAY RD
Practice Address - Street 2:
Practice Address - City:BEECH ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29842-8380
Practice Address - Country:US
Practice Address - Phone:786-734-2777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health