MEDICARE: ATLAS 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	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000000	OTHER		NONE

General Provider Information

NPI Number	:	1932837663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLAS COUNSELING SERVICES LLC

Provider Business Mailing Address
First Line	:	5877 COMMERCE ST # 113
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3835
Country	:	US
Telephone Number	:	412-206-9470
Fax Number	:

Provider Business Practice Location Address
First Line	:	5877 COMMERCE ST # 113
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3835
Country	:	US
Telephone Number	:	412-206-9470
Fax Number	:

Authorized Official
Title or Position	:	PROFESSIONAL COUNSELOR/OWNER
Name	:	DR. DARLA TIMBO
Credential	:
Telephone Number	:	412-266-2154

Provider Enumeration Date	:	08/10/2022
Last Update Date	:	08/10/2022

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