Provider Demographics
NPI:1003562570
Name:RAKISON, BRIA MARIE (MA, LBS, LPC)
Entity Type:Individual
Prefix:
First Name:BRIA
Middle Name:MARIE
Last Name:RAKISON
Suffix:
Gender:F
Credentials:MA, LBS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 PENN AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2560
Mailing Address - Country:US
Mailing Address - Phone:412-559-8665
Mailing Address - Fax:
Practice Address - Street 1:7501 PENN AVE STE 109
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2560
Practice Address - Country:US
Practice Address - Phone:412-559-8665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional