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General NPI Number Information
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NPI Number | 1174992366
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Entity Type | Organization
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Legal Business Name | SOUTH HILLS PSYCHOTHERAPY ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 101 DRAKE RD STE E
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City | PITTSBURGH
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State | PA
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Zip | 15241-1556
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Country | US
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Telephone | 412-945-0692
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Fax | 412-774-2627
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Provider Business Mailing Address
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Address Line | 101 DRAKE RD STE E
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City | PITTSBURGH
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State | PA
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Zip | 15241-1556
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Country | US
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Telephone | 412-999-7937
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Fax | 412-774-2627
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL CORBIN
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Credential | LPC
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Telephone | 412-945-0692
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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 | PC006282
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PC006282
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License Number State | PA
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