Provider Demographics
NPI:1578121026
Name:CANTWELL COUNSELING, LLC
Entity Type:Organization
Organization Name:CANTWELL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANTWELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-999-7728
Mailing Address - Street 1:300 CHAPEL HARBOR DR STE 301
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-4131
Mailing Address - Country:US
Mailing Address - Phone:412-999-7728
Mailing Address - Fax:
Practice Address - Street 1:300 CHAPEL HARBOR DR STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-4131
Practice Address - Country:US
Practice Address - Phone:412-999-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty