MEDICARE: ABOUT YOU 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	PC003306	PA
2	101YM0800X	Mental Health Counselor	PC002328	PA

General Provider Information

NPI Number	:	1962646000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOUT YOU LLC

Provider Business Mailing Address
First Line	:	6200 BROOKTREE RD
Second Line	:	SUITE 210
City	:	WEXFORD
State	:	PA
Zip	:	15090-9299
Country	:	US
Telephone Number	:	412-721-5000
Fax Number	:	412-697-0934

Provider Business Practice Location Address
First Line	:	6200 BROOKTREE RD
Second Line	:	SUITE 210
City	:	WEXFORD
State	:	PA
Zip	:	15090-9299
Country	:	US
Telephone Number	:	412-721-5000
Fax Number	:	412-697-0934

Authorized Official
Title or Position	:	PARTNER/TREASURER
Name	:	MS. KATHIE L LANG
Credential	:	M.S.ED,CAC,LPC
Telephone Number	:	412-721-5000

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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Directions to “ABOUT YOU LLC ” Practice Location

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