Healthcare Provider Details

I. General information

NPI: 1174992366
Provider Name (Legal Business Name): SOUTH HILLS PSYCHOTHERAPY ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DRAKE RD STE E
PITTSBURGH PA
15241-1556
US

IV. Provider business mailing address

101 DRAKE RD STE E
PITTSBURGH PA
15241-1556
US

V. Phone/Fax

Practice location:
  • Phone: 412-945-0692
  • Fax: 412-774-2627
Mailing address:
  • Phone: 412-999-7937
  • Fax: 412-774-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC006282
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006282
License Number StatePA

VIII. Authorized Official

Name: DANIEL CORBIN
Title or Position: OWNER
Credential: LPC
Phone: 412-945-0692