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General NPI Number Information
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NPI Number | 1699176966
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 425 N CRAIG ST SUITE 302
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City | PITTSBURGH
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State | PA
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Zip | 15213-1147
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Country | US
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Telephone | 412-407-2545
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Fax |
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Provider Business Mailing Address
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Address Line | 425 N CRAIG ST SUITE 302
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City | PITTSBURGH
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State | PA
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Zip | 15213-1147
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Country | US
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Telephone | 412-407-2545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANYA BASS
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Credential | LMFT
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Telephone | 412-389-1785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT0000685
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License Number State | PA
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