Healthcare Provider Details

I. General information

NPI: 1174448997
Provider Name (Legal Business Name): CHANCE FERRIS LPC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S 9TH ST
PITTSBURGH PA
15203-1266
US

IV. Provider business mailing address

330 S 9TH ST
PITTSBURGH PA
15203-1266
US

V. Phone/Fax

Practice location:
  • Phone: 412-240-7847
  • Fax:
Mailing address:
  • Phone: 412-240-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020377
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: