Healthcare Provider Details

I. General information

NPI: 1134790249
Provider Name (Legal Business Name): SLOAN COUNSELING AND ART THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5701 CENTRE AVE STE L4
PITTSBURGH PA
15206-3791
US

IV. Provider business mailing address

130 OAKVIEW AVE
PITTSBURGH PA
15218-1508
US

V. Phone/Fax

Practice location:
  • Phone: 412-480-8706
  • Fax:
Mailing address:
  • Phone: 412-480-8706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE SLOAN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA, ATR-BC, LPC
Phone: 412-480-8706