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General NPI Number Information
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NPI Number | 1033022207
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Entity Type | Organization
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Legal Business Name | MY LIFESPAN COUNSELING LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 5908 BRYANT ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-1606
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Country | US
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Telephone | 412-532-8576
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Fax |
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Provider Business Mailing Address
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Address Line | 915 FARRAGUT ST
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City | PITTSBURGH
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State | PA
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Zip | 15206-2203
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Country | US
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Telephone | 412-532-8576
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOAN SOULLIERE
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Credential | LCSW
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Telephone | 412-532-8576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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