| Russell Wellness Llc | |
|
5725 Forward Ave Ste 300 Pittsburgh PA 15217-2286 | |
| (412) 508-9010 | |
| Not Available |
| Full Name | Russell Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5725 Forward Ave Ste 300, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Tiffanie Russell (THERAPIST) |
| Authorized Official Contact | 4125089010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Wellness Llc 4001 Meadowbrook Blvd Pittsburgh PA 15227-3415 Ph: (412) 508-9010 | Russell Wellness Llc 5725 Forward Ave Ste 300 Pittsburgh PA 15217-2286 Ph: (412) 508-9010 |
| NPI Number | 1982249330 |
|---|---|
| Provider Enumeration Date | 11/08/2019 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982249330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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