MEDICARE: CANVAS CONVERSATIONS THERAPEUTIC 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568329373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANVAS CONVERSATIONS THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	223 S MATHILDA ST APT 6
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1661
Country	:	US
Telephone Number	:	412-699-3971
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 S HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3968
Country	:	US
Telephone Number	:	412-699-3971
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATIE LEA O'CONNOR
Credential	:	LPC
Telephone Number	:	814-289-6061

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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