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General NPI Number Information
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NPI Number | 1548169352
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Entity Type | Organization
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Legal Business Name | COMMUNITY COUNSELING THERAPEUTIC CENTER
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 5907 PENN AVE STE 215
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City | PITTSBURGH
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State | PA
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Zip | 15206-3836
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Country | US
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Telephone | 412-200-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 5907 PENN AVE STE 215
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City | PITTSBURGH
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State | PA
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Zip | 15206-3836
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL THERAPIST
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Name | MR. MARCUS FLOURNOY
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Credential | LCSW
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Telephone | 412-200-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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