Healthcare Provider Details

I. General information

NPI: 1982685657
Provider Name (Legal Business Name): PITTSBURGH PASTORAL INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 LIVERPOOL ST
PITTSBURGH PA
15233-1338
US

IV. Provider business mailing address

1025 LIVERPOOL ST
PITTSBURGH PA
15233-1338
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-1239
  • Fax: 412-661-1304
Mailing address:
  • Phone: 412-661-1239
  • Fax: 412-661-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH M CROSGROVE
Title or Position: DIRECTOR OF INTAKE & CREDENTIALING
Credential:
Phone: 412-661-1239