Healthcare Provider Details
I. General information
NPI: 1457071292
Provider Name (Legal Business Name): CMS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2022
Last Update Date: 01/25/2023
Certification Date: 01/25/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6401 PENN AVE FL 3
PITTSBURGH PA
15206-4051
US
IV. Provider business mailing address
6401 PENN AVE FL 3
PITTSBURGH PA
15206-4051
US
V. Phone/Fax
- Phone: 412-426-5304
- Fax:
- Phone: 412-426-5304
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAITLIN
SENK
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA, NCC, LPC, CCTP
Phone: 517-449-8915