Provider Demographics
NPI:1083073605
Name:BECOME YOUR HAPPY LLC
Entity Type:Organization
Organization Name:BECOME YOUR HAPPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAHLQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:412-368-2072
Mailing Address - Street 1:11565 PERRY HWY
Mailing Address - Street 2:#8
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8799
Mailing Address - Country:US
Mailing Address - Phone:412-368-2072
Mailing Address - Fax:412-430-0268
Practice Address - Street 1:11565 PERRY HWY
Practice Address - Street 2:#8
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8799
Practice Address - Country:US
Practice Address - Phone:412-368-2072
Practice Address - Fax:412-430-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF0000826106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty