| Living Stones Counseling Services Llc | |
|
801 Union Ave Pittsburgh PA 15212-5523 | |
| (412) 805-2731 | |
| Not Available |
| Full Name | Living Stones Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 801 Union Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Cassondra Wimmer (PARTNER) |
| Authorized Official Contact | 4128052731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Stones Counseling Services Llc 511 Lowries Run Rd Pittsburgh PA 15237-1232 Ph: (412) 805-2731 | Living Stones Counseling Services Llc 801 Union Ave Pittsburgh PA 15212-5523 Ph: (412) 805-2731 |
| NPI Number | 1588205892 |
|---|---|
| Provider Enumeration Date | 10/08/2019 |
| Last Update Date | 10/08/2019 |
| Medicare PECOS PAC ID | 7113358953 |
|---|---|
| Medicare Enrollment ID | O20200512002474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588205892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cassondra Faith Wimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508239211 PECOS PAC ID: 8022449867 Enrollment ID: I20200512002738 |
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