Healthcare Provider Details

I. General information

NPI: 1275306417
Provider Name (Legal Business Name): PARTNERS IN GROWTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BOYCE PLAZA RD STE 241
PITTSBURGH PA
15241-4902
US

IV. Provider business mailing address

2600 BOYCE PLAZA RD STE 241
PITTSBURGH PA
15241-4902
US

V. Phone/Fax

Practice location:
  • Phone: 412-386-4246
  • Fax: 412-564-5030
Mailing address:
  • Phone: 412-386-4246
  • Fax: 412-564-5030

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
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ERINANN PHILLIPS
Title or Position: CO-OWNER
Credential: MA, LPC, NCC
Phone: 412-386-4246