Healthcare Provider Details

I. General information

NPI: 1164363412
Provider Name (Legal Business Name): GUIDED GROWTH CHRISTIAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 BEVERLY AVE
AMBRIDGE PA
15003-1557
US

IV. Provider business mailing address

930 BEVERLY AVE
AMBRIDGE PA
15003-1557
US

V. Phone/Fax

Practice location:
  • Phone: 724-584-4476
  • Fax:
Mailing address:
  • Phone: 724-584-4476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRACY MAHMOUD
Title or Position: OWNER
Credential: LPC
Phone: 724-584-4476