Provider Demographics
NPI:1275869570
Name:COMMUNITY-NURTURING CASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:COMMUNITY-NURTURING CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BETTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR DEGREE
Authorized Official - Phone:412-621-2636
Mailing Address - Street 1:2509 WEBSTER AVE
Mailing Address - Street 2:2177 CENTRE AVE CONFERENCE ROOM
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4219
Mailing Address - Country:US
Mailing Address - Phone:412-621-2636
Mailing Address - Fax:412-552-7052
Practice Address - Street 1:2509 WEBSTER AVE
Practice Address - Street 2:2177 CENTRE AVE CONFERENCE ROOM
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4219
Practice Address - Country:US
Practice Address - Phone:412-621-2636
Practice Address - Fax:412-552-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABACHELOR DEGREE101Y00000X, 101YM0800X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty