Provider Demographics
NPI:1164947412
Name:ALL ABOUT MASSAGE AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ALL ABOUT MASSAGE AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:HOWORTH KROB
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-941-8835
Mailing Address - Street 1:501 VALLEYBROOK ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3428
Mailing Address - Country:US
Mailing Address - Phone:412-420-7183
Mailing Address - Fax:412-731-4836
Practice Address - Street 1:1112 S. BRADDOCK AVENUE
Practice Address - Street 2:SUITE 301D
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218
Practice Address - Country:US
Practice Address - Phone:412-420-7183
Practice Address - Fax:412-731-4836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2017-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012703104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty