MEDICARE: PENNSYLVANIA CENTER FOR CHANGE 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

General Provider Information

NPI Number	:	1164130480
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNSYLVANIA CENTER FOR CHANGE LLC

Provider Business Mailing Address
First Line	:	20399 ROUTE 19 STE 200
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6137
Country	:	US
Telephone Number	:	412-302-7166
Fax Number	:

Provider Business Practice Location Address
First Line	:	20399 ROUTE 19 STE 200
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6137
Country	:	US
Telephone Number	:	412-612-2270
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	CRYSTAL PARISH
Credential	:	LPC
Telephone Number	:	412-612-2270

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/14/2025

Similar Medicare Providers

1770413452 — BROOKE DILASCIO
Practice Location Address:

20399 ROUTE 19 STE 200
CRANBERRY TOWNSHIP, PA
16066-6137

Practice Phone: 412-612-2270
Practice Fax:

1942576293 — CRYSTAL PARISH
Practice Location Address:

20399 ROUTE 19 STE 200
CRANBERRY TOWNSHIP, PA
16066-6137

Practice Phone: 412-612-2270
Practice Fax:

1518715515 — AMBER RHODES LPC
Practice Location Address:

20399 ROUTE 19 STE 200
CRANBERRY TWP, PA
16066-6137

Practice Phone: 724-920-8185
Practice Fax:

1669352720 — ADDIE ALDERSON
Practice Location Address:

20399 ROUTE 19 STE 200
CRANBERRY TOWNSHIP, PA
16066-6137

Practice Phone: 412-612-2270
Practice Fax:

1053270132 — TAYLOR GROSSO
Practice Location Address:

20399 ROUTE 19 STE 200
CRANBERRY TOWNSHIP, PA
16066-6137

Practice Phone: 724-390-6257
Practice Fax:

1154271336 — PLATINUM COUNSELING LLC
Practice Location Address:

20399 ROUTE 19 STE 207
CRANBERRY TOWNSHIP, PA
16066-6137

Practice Phone: 412-228-7929
Practice Fax:

Directions to “PENNSYLVANIA CENTER FOR CHANGE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.