Healthcare Provider Details

I. General information

NPI: 1881186294
Provider Name (Legal Business Name): PEACE OF TIME COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4748 LIBERTY AVE
PITTSBURGH PA
15224-2034
US

IV. Provider business mailing address

4748 LIBERTY AVE
PITTSBURGH PA
15224-2034
US

V. Phone/Fax

Practice location:
  • Phone: 412-578-9700
  • Fax: 412-578-9800
Mailing address:
  • Phone: 412-578-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017808
License Number StatePA

VIII. Authorized Official

Name: ROCHANNE VINCENT
Title or Position: OWNER/ THERAPIST
Credential: LCSW
Phone: 412-578-9700