MEDICARE: TIA LYNN BIGOS LPC

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	101YP2500X	Professional Counselor	PC018033	PA

General Provider Information

NPI Number	:	1851988182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIA LYNN BIGOS LPC

Provider Business Mailing Address
First Line	:	470 STREETS RUN RD STE 402
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2073
Country	:	US
Telephone Number	:	412-447-1629
Fax Number	:

Provider Business Practice Location Address
First Line	:	470 STREETS RUN RD STE 402
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-2073
Country	:	US
Telephone Number	:	412-653-7829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	02/17/2025

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