| Shape Mental Health & Wellness, Llc. | |
|
100 Global View Dr Warrendale PA 15086-7612 | |
| (412) 518-2158 | |
| Not Available |
| Full Name | Shape Mental Health & Wellness, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 100 Global View Dr, Warrendale, Pennsylvania |
| Authorized Official Name and Position | Bradford James Hanes (OWNER / THERAPIST) |
| Authorized Official Contact | 4125182158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Mental Health & Wellness, Llc. 100 Global View Dr Warrendale PA 15086-7612 Ph: (412) 518-2158 | Shape Mental Health & Wellness, Llc. 100 Global View Dr Warrendale PA 15086-7612 Ph: (412) 518-2158 |
| NPI Number | 1841984010 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Certification Date | 06/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841984010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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