412 Therapy Co
Clinic/Center, Mental Health (Including Community Mental Health Center) in Pittsburgh, PA. Organization (NPI-2).
NPI number1205565959
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1205565959
- Entity type
- Organization (NPI-2)
- Legal business name
- 412 Therapy Co
- Organization subpart
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
927 Brookline BlvdPittsburgh, PA 15226-2181
Phone 724-747-3854
Mailing address
516 Highfield AveCanonsburg, PA 15317-1245
Phone 724-747-3854
Authorized official
Laurel Wasson
Owner/Therapist
7247473854
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