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General NPI Number Information
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NPI Number | 1134038979
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Entity Type | Organization
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Legal Business Name | ARCHETYPAL COUNSELING GROUP LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 20 CEDAR BLVD STE 207
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City | PITTSBURGH
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State | PA
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Zip | 15228-1330
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Country | US
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Telephone | 412-512-3756
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Fax | 412-365-5963
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Provider Business Mailing Address
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Address Line | 401 SHADY AVE STE B205-1
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City | PITTSBURGH
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State | PA
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Zip | 15206-4409
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Country | US
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Telephone | 412-512-3756
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Fax | 412-365-5963
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Authorized Official
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Title or Position | OWNER
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Name | MR. DOUGLAS C STEWART
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Credential | MS, LPC
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Telephone | 412-512-3756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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