Healthcare Provider Details
I. General information
NPI: 1295663409
Provider Name (Legal Business Name): ADVANCED PSYCHIATRIC SOLUTION A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
304 5TH ST
TRAFFORD PA
15085-1018
US
IV. Provider business mailing address
305 DURST RD
IRWIN PA
15642-5717
US
V. Phone/Fax
- Phone: 724-246-4862
- Fax: 724-318-6812
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RESHEDA
HOUSE
Title or Position: OWNER
Credential: CRNP
Phone: 814-386-5338