Provider Demographics
NPI:1407321706
Name:FAMILY ADVOCATE INTEGRATED THROUGH HEALING, LLC
Entity Type:Organization
Organization Name:FAMILY ADVOCATE INTEGRATED THROUGH HEALING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTLIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-731-2071
Mailing Address - Street 1:322 MALL BLVD STE 242
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2241
Mailing Address - Country:US
Mailing Address - Phone:412-292-3517
Mailing Address - Fax:
Practice Address - Street 1:2020 ARDMORE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4649
Practice Address - Country:US
Practice Address - Phone:412-731-2071
Practice Address - Fax:412-731-1103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-12
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health