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NPI Code Detail

MEDICARE: VISTA BEHAVIORAL HEALTH ASSOCIATES, INC.

MEDICARE: VISTA BEHAVIORAL HEALTH ASSOCIATES, INC.
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
1101YP2500XProfessional Counselor
2103T00000XPsychologist
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1263215OTHERPAHIGHMARK MANAGED CARE

General Provider Information

NPI Number : 1043261480
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTA BEHAVIORAL HEALTH ASSOCIATES, INC.
Provider Business Mailing Address
First Line : 1370 WASHINGTON PIKE
Second Line : SUITE 303
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 412-206-0123
Fax Number : 412-206-0133
Provider Business Practice Location Address
First Line : 1370 WASHINGTON PIKE
Second Line : SUITE 303
City : BRIDGEVILLE
State : PA
Zip : 15017-2886
Country : US
Telephone Number : 412-206-0123
Fax Number : 412-206-0133
Authorized Official
Title or Position : OFFICE MANAGER
Name : LORI J ZAREMBA
Credential :
Telephone Number : 412-206-0145
Provider Enumeration Date : 05/12/2006
Last Update Date : 09/06/2022

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