Progress City Llc | |
85 S 24th St Pittsburgh PA 15203-2233 | |
(412) 450-0118 | |
Not Available |
Full Name | Progress City Llc |
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Speciality | Social Worker |
Location | 85 S 24th St, Pittsburgh, Pennsylvania |
Authorized Official Name and Position | Bryan Kiger (CEO) |
Authorized Official Contact | 4129801697 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progress City Llc 85 S 24th St Pittsburgh PA 15203-2233 Ph: (412) 450-0118 | Progress City Llc 85 S 24th St Pittsburgh PA 15203-2233 Ph: (412) 450-0118 |
NPI Number | 1255966750 |
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Provider Enumeration Date | 03/05/2020 |
Last Update Date | 09/28/2022 |
Certification Date | 09/23/2022 |
Medicare PECOS PAC ID | 6608252226 |
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Medicare Enrollment ID | O20221005003041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255966750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Provider Name | Kyoko Henson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073988093 PECOS PAC ID: 9537545009 Enrollment ID: I20221006001758 |
Provider Name | Samantha Jo Hefner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346541513 PECOS PAC ID: 3870932049 Enrollment ID: I20240420000043 |
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