Provider Demographics
NPI:1093044646
Name:MOUNT ARARAT BAPTIST CHURCH
Entity Type:Organization
Organization Name:MOUNT ARARAT BAPTIST CHURCH
Other - Org Name:MOUNT ARARAT COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TAUNYA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TINSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, NCC, LPC
Authorized Official - Phone:412-441-1800
Mailing Address - Street 1:271 PAULSON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3270
Mailing Address - Country:US
Mailing Address - Phone:412-441-1800
Mailing Address - Fax:412-441-5406
Practice Address - Street 1:271 PAULSON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3270
Practice Address - Country:US
Practice Address - Phone:412-441-1800
Practice Address - Fax:412-441-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004362101YP2500X
PACW006827L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty