Healthcare Provider Details

I. General information

NPI: 1386554046
Provider Name (Legal Business Name): CRYSTAL CLARITY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 ROSSMORE AVE
PITTSBURGH PA
15226
US

IV. Provider business mailing address

30 S 15TH ST STE 1550
PHILADELPHIA PA
19102-4806
US

V. Phone/Fax

Practice location:
  • Phone: 412-334-7728
  • Fax:
Mailing address:
  • Phone: 412-334-7728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL SPANO
Title or Position: THERAPIST/OWNER
Credential: LPC
Phone: 412-334-7728