Provider Demographics
NPI:1083184139
Name:STEEL RIVER COUNSELING
Entity Type:Organization
Organization Name:STEEL RIVER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:KELLEY
Authorized Official - Last Name:OTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:601-331-4079
Mailing Address - Street 1:158 MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-1132
Mailing Address - Country:US
Mailing Address - Phone:601-331-4079
Mailing Address - Fax:
Practice Address - Street 1:7108 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-1812
Practice Address - Country:US
Practice Address - Phone:601-331-4079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty