Healthcare Provider Details

I. General information

NPI: 1639005937
Provider Name (Legal Business Name): PLANTED THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 LIVING PL STE 200
PITTSBURGH PA
15206-5122
US

IV. Provider business mailing address

6425 LIVING PL STE 200
PITTSBURGH PA
15206-5122
US

V. Phone/Fax

Practice location:
  • Phone: 412-426-5745
  • Fax:
Mailing address:
  • Phone: 412-426-5745
  • 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: KEITH GRAY
Title or Position: OWNER/DIRECTOR
Credential: LCSW
Phone: 412-426-5745