Healthcare Provider Details

I. General information

NPI: 1164349098
Provider Name (Legal Business Name): CONFIDENTLY ROOTED COUNSELING AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5150 PENN AVE
PITTSBURGH PA
15224-1626
US

IV. Provider business mailing address

755 PRESQUE ISLE DR APT A
PITTSBURGH PA
15239-2658
US

V. Phone/Fax

Practice location:
  • Phone: 814-440-7143
  • Fax:
Mailing address:
  • Phone: 814-440-7143
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHATONA HOLLINGSWORTH
Title or Position: OWNER
Credential: LCSW
Phone: 814-440-7143