MEDICARE: FOR MY GOOD COUNSELING SERVICES, 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1508583956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOR MY GOOD COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	6031 SALTSBURG RD
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-3315
Country	:	US
Telephone Number	:	412-228-0714
Fax Number	:

Provider Business Practice Location Address
First Line	:	6149 SALTSBURG RD STE 200
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-3542
Country	:	US
Telephone Number	:	412-832-7097
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STARSHEMAH DUNCAN
Credential	:	MS, NCC, LPC
Telephone Number	:	412-832-7097

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	06/21/2024

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