Healthcare Provider Details

I. General information

NPI: 1760774053
Provider Name (Legal Business Name): LYTTLE EAP PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2011
Last Update Date: 05/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CEDAR RIDGE DR
PITTSBURGH PA
15205-9691
US

IV. Provider business mailing address

200 CEDAR RIDGE DR
PITTSBURGH PA
15205-9691
US

V. Phone/Fax

Practice location:
  • Phone: 412-921-7000
  • Fax:
Mailing address:
  • Phone: 412-921-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberSW008219L
License Number StatePA

VIII. Authorized Official

Name: LAURA ELLMAN
Title or Position: EAP
Credential: LSW
Phone: 412-921-7000