Healthcare Provider Details

I. General information

NPI: 1245466291
Provider Name (Legal Business Name): AHEADD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 06/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3945 FORBES AVE 470
PITTSBURGH PA
15213-3507
US

IV. Provider business mailing address

3945 FORBES AVE 470
PITTSBURGH PA
15213-3507
US

V. Phone/Fax

Practice location:
  • Phone: 412-848-9355
  • Fax: 412-661-9974
Mailing address:
  • Phone: 412-848-9355
  • Fax: 412-661-9974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLYN KOMICH HARE
Title or Position: EXECUTIVE DIRECTOR
Credential: M.S.
Phone: 412-848-9355