Healthcare Provider Details
I. General information
NPI: 1083396089
Provider Name (Legal Business Name): BEST LIFE WELLNESS CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1003 PERRY HWY STE 205
PITTSBURGH PA
15237-2194
US
IV. Provider business mailing address
1003 PERRY HWY STE 205
PITTSBURGH PA
15237-2194
US
V. Phone/Fax
- Phone: 412-998-9010
- Fax: 412-998-9010
- Phone: 412-998-9010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MICHELE
BECKER
Title or Position: OWNER
Credential: LCSW
Phone: 412-998-9010