Healthcare Provider Details

I. General information

NPI: 1508583956
Provider Name (Legal Business Name): FOR MY GOOD COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6149 SALTSBURG RD STE 200
VERONA PA
15147-3542
US

IV. Provider business mailing address

6031 SALTSBURG RD
VERONA PA
15147-3315
US

V. Phone/Fax

Practice location:
  • Phone: 412-832-7097
  • Fax:
Mailing address:
  • Phone: 412-228-0714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: STARSHEMAH DUNCAN
Title or Position: OWNER
Credential: MS, NCC, LPC
Phone: 412-832-7097