MEDICARE: RESOLUTIONS COUNSELING AND BEHAVIORAL HEALTH SERVICES LLC

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	101YP2500X	Professional Counselor	PC006418	PA

General Provider Information

NPI Number	:	1023540713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOLUTIONS COUNSELING AND BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	850 BOYCE RD
Second Line	:	SUITE #9
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1541
Country	:	US
Telephone Number	:	412-220-2120
Fax Number	:	412-220-6063

Provider Business Practice Location Address
First Line	:	850 BOYCE RD
Second Line	:	SUITE #9
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-1541
Country	:	US
Telephone Number	:	412-220-2120
Fax Number	:	412-220-6063

Authorized Official
Title or Position	:	OWNER
Name	:	BAILEY BLEDSOE
Credential	:	LPC
Telephone Number	:	412-220-2120

Provider Enumeration Date	:	03/31/2017
Last Update Date	:	03/31/2017

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