Healthcare Provider Details

I. General information

NPI: 1689595100
Provider Name (Legal Business Name): LITTLEBERRY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 EVERGREEN AVE STE 204
PITTSBURGH PA
15209-2257
US

IV. Provider business mailing address

820 EVERGREEN AVE STE 204
PITTSBURGH PA
15209-2257
US

V. Phone/Fax

Practice location:
  • Phone: 724-242-7020
  • Fax: 724-313-4864
Mailing address:
  • Phone: 724-242-7020
  • Fax: 724-313-4864

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: ALYSSE LITTLEBERRY
Title or Position: OWNER AND CEO
Credential: LCSW, MPH
Phone: 724-242-7020