Provider Demographics
NPI:1346597762
Name:SCANLON COUNSELING AND CONSULTING, LLC
Entity Type:Organization
Organization Name:SCANLON COUNSELING AND CONSULTING, LLC
Other - Org Name:SCANLON COUNSELING AND CONSULTING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOTHERPIST
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LIMEGROVER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-200-8944
Mailing Address - Street 1:101 BOWER HILL RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1403
Mailing Address - Country:US
Mailing Address - Phone:412-200-8944
Mailing Address - Fax:
Practice Address - Street 1:101 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1403
Practice Address - Country:US
Practice Address - Phone:412-200-8944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000785251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health