MEDICARE: SLOAN COUNSELING AND ART THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1134790249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLOAN COUNSELING AND ART THERAPY, LLC

Provider Business Mailing Address
First Line	:	130 OAKVIEW AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1508
Country	:	US
Telephone Number	:	412-480-8706
Fax Number	:

Provider Business Practice Location Address
First Line	:	5701 CENTRE AVE STE L4
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3791
Country	:	US
Telephone Number	:	412-480-8706
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	JAMIE SLOAN
Credential	:	MA, ATR-BC, LPC
Telephone Number	:	412-480-8706

Provider Enumeration Date	:	07/09/2021
Last Update Date	:	08/16/2021

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