NPI Code Details Logo

NPI 1962380469

NPI 1962380469 : THOUGHT PROVOKING LLC : MOON TOWNSHIP, PA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962380469
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THOUGHT PROVOKING LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/22/2025
-----------------------------------------------------
    Last Update Date     |    02/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    533 CARNOT RD 
-----------------------------------------------------
    City                 |    MOON TOWNSHIP
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15108-2301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-913-2040
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    533 CARNOT RD 
-----------------------------------------------------
    City                 |    MOON TOWNSHIP
-----------------------------------------------------
    State                |    PA
-----------------------------------------------------
    Zip                  |    15108-2301
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    724-913-2040
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     SHANNON  LEBAK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    412-498-8040
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.