| Bryan Bass-riley Licensed Professional Counselor, Llc | |
|
3825 Northern Pike Ste 202 Monroeville PA 15146-2161 | |
| (412) 737-4378 | |
| (412) 844-2060 |
| Full Name | Bryan Bass-riley Licensed Professional Counselor, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3825 Northern Pike Ste 202, Monroeville, Pennsylvania |
| Authorized Official Name and Position | Bryan Bass-riley (OWNER) |
| Authorized Official Contact | 4127374378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Bass-riley Licensed Professional Counselor, Llc 175 Autumn Dr Trafford PA 15085-1448 Ph: (412) 737-4378 | Bryan Bass-riley Licensed Professional Counselor, Llc 3825 Northern Pike Ste 202 Monroeville PA 15146-2161 Ph: (412) 737-4378 |
| NPI Number | 1376161919 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376161919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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