Healthcare Provider Details

I. General information

NPI: 1073389326
Provider Name (Legal Business Name): COMPASSIONATE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 BROOKLINE BLVD
PITTSBURGH PA
15226-2002
US

IV. Provider business mailing address

520 BROOKLINE BLVD
PITTSBURGH PA
15226-2002
US

V. Phone/Fax

Practice location:
  • Phone: 412-303-5341
  • Fax: 412-572-3492
Mailing address:
  • Phone: 412-303-5341
  • Fax: 412-572-3492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DIANA FISCHERKELLER
Title or Position: OWNER
Credential: LPC
Phone: 412-303-5341