MEDICARE: WE TALK STRAIGHT - COUNSELING, 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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1649865718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WE TALK STRAIGHT - COUNSELING, LLC

Provider Business Mailing Address
First Line	:	4150 WASHINGTON RD STE 210
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-809-7298
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 WASHINGTON RD STE 210
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-809-7298
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHERRY ANN RAINERI
Credential	:	LCSW
Telephone Number	:	724-809-7298

Provider Enumeration Date	:	03/01/2021
Last Update Date	:	04/08/2021

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