Provider Demographics
NPI:1043084288
Name:THE RELATIONSHIP HARBOR
Entity Type:Organization
Organization Name:THE RELATIONSHIP HARBOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRADY
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVOTNY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:724-814-9720
Mailing Address - Street 1:1260 FREEDOM CRIDER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:FREEDOM
Mailing Address - State:PA
Mailing Address - Zip Code:15042-9391
Mailing Address - Country:US
Mailing Address - Phone:724-814-9720
Mailing Address - Fax:
Practice Address - Street 1:1260 FREEDOM CRIDER RD STE 3
Practice Address - Street 2:
Practice Address - City:FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:15042-9391
Practice Address - Country:US
Practice Address - Phone:724-814-9720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty