Provider Demographics
NPI:1174786032
Name:GRIEVE-MARTIN COUNSELING LLC
Entity type:Organization
Organization Name:GRIEVE-MARTIN COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GRIEVE-MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:412-527-6111
Mailing Address - Street 1:114 WESTWARD HO DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-4541
Mailing Address - Country:US
Mailing Address - Phone:412-527-6111
Mailing Address - Fax:412-247-7441
Practice Address - Street 1:575 ALLEGHENY AVE
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2077
Practice Address - Country:US
Practice Address - Phone:412-527-6111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011420L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty