Healthcare Provider Details

I. General information

NPI: 1992634745
Provider Name (Legal Business Name): THE OPEN SPACE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 BOYLE ST
PITTSBURGH PA
15212-4711
US

IV. Provider business mailing address

1215 BOYLE ST
PITTSBURGH PA
15212-4711
US

V. Phone/Fax

Practice location:
  • Phone: 412-518-2120
  • Fax:
Mailing address:
  • Phone: 412-518-2120
  • 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: SAMANTHA GOLDBERG
Title or Position: FOUNDER & CEO
Credential:
Phone: 412-518-2120