MEDICARE: INSIDE CHANGE COUNSELING & WELLNESS 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	:	1851247431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIDE CHANGE COUNSELING & WELLNESS LLC

Provider Business Mailing Address
First Line	:	1224 COLESCOTT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-3808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 COLESCOTT ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-3808
Country	:	US
Telephone Number	:	412-979-5747
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RAUN D SKYRM
Credential	:
Telephone Number	:	330-256-0533

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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