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General NPI Number Information
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NPI Number | 1952110207
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Entity Type | Organization
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Legal Business Name | LASTING TRANSFORMATION
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 6315 FORBES AVE STE L-109
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City | PITTSBURGH
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State | PA
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Zip | 15217-1745
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Country | US
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Telephone | 412-721-5000
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Fax | 412-271-2659
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Provider Business Mailing Address
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Address Line | 468 FILMORE RD
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City | PITTSBURGH
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State | PA
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Zip | 15221-4020
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Country | US
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Telephone | 412-721-5000
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Fax | 412-271-2659
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHIE LANG
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Credential | LPC
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Telephone | 412-721-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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