Provider Demographics
NPI:1124589494
Name:ELLIOT COUNSELING LLC
Entity Type:Organization
Organization Name:ELLIOT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOT
Authorized Official - Suffix:
Authorized Official - Credentials:MSPC, LPC, NCC, CCTP
Authorized Official - Phone:412-212-6909
Mailing Address - Street 1:6315 FORBES AVE STE B014
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1700
Mailing Address - Country:US
Mailing Address - Phone:412-212-6909
Mailing Address - Fax:412-422-6763
Practice Address - Street 1:6315 FORBES AVE STE L119D
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1745
Practice Address - Country:US
Practice Address - Phone:412-212-6909
Practice Address - Fax:412-422-6763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty