Provider Demographics
NPI:1366557001
Name:PIROSO, MIRTA NOEMI (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:MIRTA
Middle Name:NOEMI
Last Name:PIROSO
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 E BIJOU ST STE 212
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-1331
Mailing Address - Country:US
Mailing Address - Phone:719-649-4996
Mailing Address - Fax:719-328-9641
Practice Address - Street 1:7 E BIJOU ST STE 212
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-1331
Practice Address - Country:US
Practice Address - Phone:719-649-4996
Practice Address - Fax:719-328-9641
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC 2775101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional