=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073397089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KVS COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/21/2023
-----------------------------------------------------
Last Update Date | 08/21/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 927 BROOKLINE BLVD
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15226-2181
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-254-3222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 308 BIDDLE AVE APT 2
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15221-3460
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-538-4228
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, THERAPIST
-----------------------------------------------------
Name | KATE SEMPLE
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 412-254-3222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------