Healthcare Provider Details

I. General information

NPI: 1447843628
Provider Name (Legal Business Name): JUST A LITTLE TALK INTEGRATED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 02/18/2021
Certification Date: 02/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 9TH ST
MCKEESPORT PA
15132-4028
US

IV. Provider business mailing address

426 WILSON AVE
CLAIRTON PA
15025-1551
US

V. Phone/Fax

Practice location:
  • Phone: 412-267-7794
  • Fax:
Mailing address:
  • Phone: 412-726-2685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MICHELLE L GRESSEM
Title or Position: THERAPIST
Credential: LCSW
Phone: 412-726-2685